目的:经皮微球囊压迫术(PMC)是治疗三叉神经痛的一种简单而有效的手术方法。这种手术的困难与卵圆孔的准确和快速穿刺有关。在这项研究中,我们比较了个性化3D打印指南和传统穿刺方法在三叉神经PMC手术中的应用。
方法:回顾性分析2017年6月至2019年8月接受PMC治疗的40例原发性三叉神经痛患者的数据。20例患者使用个性化3D打印夹具辅助卵圆孔穿刺,和Hartel定位用于20例患者的穿刺。术前使用3DSlicer软件进行三维重建,以了解卵圆孔的大小和相关解剖结构的定位。在重建的基础上,为夹具板辅助治疗组创建个性化手术路径,并通过3D打印将打印的夹具板应用于手术中,探讨手术效果。
结果:所有患者卵圆孔穿刺均成功。在卵圆孔穿刺时间方面,使用导针比传统方法获得了更好的结果(p<0.01)。总手术时间(p<0.01),和计算机断层扫描次数(p<0.01)。手术疗效及术后并发症组间无差异(p=1)。
结论:使用个性化的3D打印指南可以在PMC中实现准确的穿刺定位,提高手术成功率,缩短手术时间,并降低手术风险,具有广阔的临床应用前景。
UNASSIGNED: Percutaneous microballoon compression (PMC) is a simple and effective surgical procedure for the treatment of trigeminal neuralgia. The difficulty with this surgery is related to accurate and quick foramen ovale puncture. In this study, we compared the application of personalized 3D-printed guides and the traditional puncture method in trigeminal PMC surgery.
UNASSIGNED: Data from 40 patients with primary trigeminal neuralgia treated with PMC between June 2017 and August 2019 were analyzed retrospectively. Personalized 3D-printed jigs were used to assist foramen ovale puncture in 20 patients, and Hartel positioning was used for puncture in 20 patients. Three-dimensional reconstruction was performed preoperatively using 3DSlicer software to understand the size of the foramen ovale and positioning of related anatomical structures. Based on the reconstruction, personalized surgical paths were created for the jig plate-assisted treatment group, and the printed jig plate was applied to the surgery through 3D printing to explore the surgical effect.
UNASSIGNED: Foramen ovale puncture was successful in all patients. Better results were achieved with guides than with the traditional method in terms of the foramen ovale puncture time (p < 0.01), total operation time (p < 0.01), and number of computed tomography scans (p < 0.01). The efficacy of surgery and postoperative complications did not differ between groups (p = 1).
UNASSIGNED: The use of personalized 3D-printed guides enables accurate puncture positioning in PMC, and improves the success rate of surgery, shortens the operation time, and reduces surgical risk, which has broad prospects in clinical application.