Study on Prognostic Factors of Microvascular Decompression in the Treatment of Trigeminal Neuralgia
Objective To analyze the prognostic factors of microvascular decompression in the treatment of trigeminal neuralgia.Methods A convenience sampling method was used to conduct a survey.Seventy-two patients with trigeminal neuralgia treated at Nanyang Central Hospital from January 2020 to December 2023 were selected as the study sample.All patients underwent Microvascular decompression treatment.The prognosis of the 72 patients was investigated and they were divided into a good prognosis group and a poor prognosis group based on their prognosis.Clinical data of all subjects,including gender,age(＞60 years/≤60 years),affected side of trigeminal neuralgia(right/left),disease course(＞5 years/≤5 years),compression site(artery/artery+vein),compression degree(adhesion,atrophy,displacement/none),clinical symptoms(typical/atypical),and decompression degree(sufficient/insufficient),were collected.Differences in clinical data between the two groups were compared,and binary logistic regression was used to analyze the prognostic factors of Microvascular decompression in the treatment of trigeminal neuralgia.Results Among the 72 patients,40 had a good prognosis(55.56%)and 32 had a poor prognosis(44.44%).There were no statistically significant differences in age,gender,affected side of trigeminal neuralgia,and compression site between the good prognosis group and the poor prognosis group(P＞0.05).There were statistically significant differences in disease course,compression degree,clinical symptoms,and decompression degree between the two groups(P＜0.05).Binary logistic regression analysis showed that a disease course of＞5 years,compression degree(adhesion,atrophy,displacement),atypical clinical symptoms,and insufficient decompression were prognostic factors for Microvascular decompression in the treatment of trigeminal neuralgia.Conclusion Prognostic factors for Microvascular decompression in the treatment of trigeminal neuralgia include disease course,compression degree,clinical symptoms,and decompression degree,which should be given special attention during the perioperative period.
万方数据
维普
