关键词: 三叉神经痛, 经皮穿刺球囊压迫, 心脏疾患, 三叉神经心脏反射, 麻醉

Abstract: Objective To study the perioperative safety and postoperative efficacy of percutaneous balloon compression(PBC) in patients with trigeminal neuralgia with heart disease,a retrospective analysis was performed on the clinical data of patients with trigeminal neuralgia with heart disease. Methods In June 2019 to March 2021 in our department application PBC treatment of primary trigeminal neuralgia patients,109 cases were selected,according to the presence of comorbid patients with heart disease can be divided into normal group and associated with heart disease,and according to whether intraoperative changes in heart rate decline,divided the patients into heart rate descent group and the group,the comparative analysis of two groups of patients with clinical data,The clinical efficacy,complications and perioperative problems of the two groups were compared and analyzed. Results There was no significant difference in the rate of pain relief 6 months after operation between the normal group and the group with heart disease.In the normal group,56 patients(84.8%) had complete pain relief 6 months after operation,and 10 patients(15.2%) still had pain;in the group with heart disease,40 patients(93.0%) had complete pain relief 6 months after operation,and 3 patients(7.0%) still had pain.The incidence of the decrease of the operation center rate in the group with heart disease was significantly higher than that in the normal group,13 cases(30.2%) of the operation center rate in the group with heart disease,6 cases(9.0%) of the normal group,P＜0.001.By comparing the clinical data of patients in the descending heart rate group and the non-descending group,it was found that the age of patients in the descending heart rate group was significantly older than that in the non-descending heart rate group,and the majority of patients in the descending heart rate group had heart disease. Conclusion PBC is an effective treatment for trigeminal neuralgia,and it is still reliable and safe for patients with trigeminal neuralgia with heart disease.For patients with heart disease,preoperative cardiac examination should be improved,and vital signs should be closely monitored before and during surgery.Timely treatment should be taken for cardiac disorders and other conditions occurred during surgery.

Key words: Trigeminal neuralgia, Percutaneous balloon compression, Cardiac diseases, Trigeminocardiac reflex, Anesthesia