C-臂引导下球囊压迫术治疗三叉神经痛对患者焦虑抑郁的影响

doi:10.3877/cma.j.issn.2095-123X.2021.02.004

目的

分析经C-臂引导下球囊压迫术（PBC）治疗的三叉神经痛（TN）患者焦虑、抑郁的变化情况。

方法

选择新疆医科大学第一附属医院神经外科中心功能神经外科团队自2018年1月至2020年12月行C-臂引导下PBC治疗的55例TN患者为研究对象。应用Zung氏抑郁自评量表（SDS）及焦虑自评量表（SAS）对患者治疗前和治疗后1周的抑郁、焦虑情况进行评定和比较。分析C-臂引导下PBC对TN的临床疗效。

结果

本研究共治愈患者51例，治愈率达92.73%，其中即刻治愈49例，延迟治愈2例，均发生在1周内；显效2例，有效1例，有效率达98.18%；症状无缓解1例（1.82%）。手术前55例患者中有焦虑者17例（30.91%），抑郁者20例（36.36%）；治疗后1周，焦虑者7例（12.73%），抑郁者5例（9.09%）。与治疗前比较，患者治疗后SAS、SDS评分均显著降低，差异有统计学意义（P<0.05）。

结论

C-臂引导下PBC治疗TN临床效果显著，患者的焦虑、抑郁症状得到显著改善。

关键词: C-臂引导下球囊压迫术, 三叉神经痛, 焦虑, 抑郁

Objective

To analyze the changes of anxiety and depression in trigeminal neuralgia (TN) patients treated by C-arm guided percutaneous balloon compression (PBC).

Methods

From January 2018 to December 2020, 55 patients with TN who were treated by C-arm guided PBC in the functional neurosurgery team of the Neurosurgery Center of the First Affiliated Hospital of Xinjiang Medical University were selected. Zung’s self-rating depression scale (SDS) and self-rating anxiety scale (SAS) were used to score and compare the depression and anxiety of patients before treatment and 1 week after treatment. The clinical efficacy of C-arm guided PBC on TN was analyzed.

Results

After PBC treatment, 55 patients with TN who received PBC treatment were included in this study. A total of 51 patients were cured, with a cure rate of 92.73%. Among them, 49 patients were cured, and 2 patients were cured, all of which occurred within 1 week. Two patients were markedly effective, 1 patient was effective. The effective rate was 98.18%. One patient (1.82%) showed no relief. Among the 55 patients before surgery, 17 patients were anxious (30.91%), and 20 patients were depressed (36.36%); 1 week after treatment, 7 patients were anxious (12.73%), 5 patients of depression (9.09%). Compared with before treatment, SAS and SDS scores were significantly reduced after treatment, the differences were statistically significant (P<0.05).

Conclusion

C-arm guided PBC has a significant clinical effect in the treatment of TN, and the patients’ anxiety and depression symptoms have been significantly improved.

Key words: C-arm guided percutaneous balloon compression, Trigeminal neuralgia, Anxiety, Depression

图1 C-臂机X线下球囊呈现梨形

表1 55例患者治疗前后SAS、SDS评分比较（分，Mean±SD）

评分	治疗前	治疗后	t值	P值
SDS	47.04±6.22	38.02±9.08	31.317	<0.001
SAS	47.70±4.97	38.84±9.44	30.800	<0.001

表1 55例患者治疗前后SAS、SDS评分比较（分，Mean±SD）

评分	治疗前	治疗后	t值	P值
SDS	47.04±6.22	38.02±9.08	31.317	<0.001
SAS	47.70±4.97	38.84±9.44	30.800	<0.001

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Effect of C-arm percutaneous balloon compression compression in the treatment of trigeminal neuralgia on patients with anxiety and depression

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Effect of C-arm percutaneous balloon compression compression in the treatment of trigeminal neuralgia on patients with anxiety and depression