文章摘要
王晓岩,姜悦,刘菲,王静.微球囊压迫术治疗三叉神经痛的日间手术管理实践[J].中国临床保健杂志,2019,22(6):828-832.
微球囊压迫术治疗三叉神经痛的日间手术管理实践
The exploration of ambulatory surgical management based on percutaneous microballoon compression for the treatment of trigeminal neuralgia
投稿时间:2019-02-27  
DOI:10.3969/J.issn.1672-6790.2019.06.028
中文关键词: 三叉神经痛  日间住院医疗  穿刺术  神经外科手术  临床管理
英文关键词: Trigeminal neuralgia  Day care  Punctures  Neurosurgical procedures  Clinical governance 〖FL
基金项目:首都临床特色应用研究专项资助项目(Z131107002213061)
作者单位E-mail
王晓岩 首都医科大学附属北京天坛医院医务处,北京 100070 wxyann18088@163.com 
姜悦 首都医科大学附属北京天坛医院医务处,北京 100070 jiangyuettyy@139.com 
刘菲 首都医科大学附属北京天坛医院医务处,北京 100070  
王静 首都医科大学附属北京天坛医院医务处,北京 100070  
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中文摘要:
      目的 探讨微球囊压迫术治疗三叉神经痛的日间手术管理模式及其效果。方法 80例保守治疗无效的三叉神经痛患者,采用经皮穿刺微球囊压迫半月神经节的日间手术治疗,记录患者术前等候时间、平均住院时间、费用、疗效及术后并发症。结果 80例患者术前平均等候时间(1.47±0.91)d、平均住院时间(8.30±1.88)h、费用消耗(20507.78±460.72)元;治疗后当日、1月、3月、6月和1年疼痛数字评分显著低于治疗前(P<0.01)、满意度评分显著高于治疗前(P<0.01);无严重手术相关并发症。结论 微球囊压迫术作为日间手术管理是安全、高效、可行的。
英文摘要:
      Objective To discuss the operating mode and effect of ambulatory surgery of percutaneous microballoon compression of semilunar ganglion for the treatment of trigeminal neuralgia,and summarize the management and advantages of ambulatory surgery.Methods A total of 80 cases of trigeminal neuralgia who had failed conservative treatment were treated by the ambulatory surgery in the way of percutaneous micro balloon compression of semilunar ganglion.Additionally,their waiting time before surgery,average hospital stay,medicalcosts,curative effects and postoperative complications were recorded.Results Among 80 the cases,the waiting time before surgery was(1.47±0.91)days,the average hospital stay was(8.30±1.88)days,and the medical cost was(20507.78±460.72)yuan.The scores of pain on the day after treatment one month,three months,six months and one year later were significantly lower than those before treatment (P<0.01).And the scores of satisfaction were significantly higher than those before treatment (P<0.01).There were no serious surgical complications.Conclusion The ambulatory surgery of percutaneous microballoon compression for the treatment of trigeminal neuralgia is safe,effective and feasible.
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