【摘要】目的 总结评估经皮三叉神经半月节球囊压迫术对三叉神经痛治疗的临床疗效分析。 方法 回顾性分析随访2020年5月至2021年10月内蒙古医科大学附属医院神经外科应用经皮三叉神经半月节球囊压迫术治疗三叉神经痛的40例患者临床资料，并对术后患者进行随访。 结果 术后38例患者的疼痛得到有效缓解，其中30例患者的疼痛立即完全缓解，8例患者的疼痛部分缓解。2例患者疼痛无缓解。2例患者复发，回顾考虑1例术中球囊形状不理想，未完全在Meckel腔中，1例术中球囊压迫时间较短，复发后继续口服卡马西平。8例疼痛部分缓解患者经分析也考虑与其压迫时间短有关。术后35例患者有面部麻木，感觉减退，均能逐渐好转，且患者能耐受。所有患者在术后两天内出院。 结论 经皮三叉神经半月节球囊压迫术是一种安全有效微创治疗三叉神经痛的手术方式。可适用于年老体弱者、术后复发、畏惧开颅手术的患者。 【关键字】三叉神经痛；球囊压迫术；回顾分析

Objective To summarize and evaluate the clinical efficacy of percutaneous trigeminal meniscus balloon compression in the treatment of trigeminal neuralgia. 【Abstract】Objective To summarize and evaluate the clinical efficacy of percutaneous trigeminal meniscus balloon compression in the treatment of trigeminal neuralgia. Methods The clinical data of 40 patients with trigeminal neuralgia treated with percutaneous trigeminal semilunar ganglion balloon compression in the Department of Neurosurgery of Inner Mongolia Medical University Affiliated Hospital from October 2020 to October 2021 were retrospectively analyzed. Results The pain of 39 patients was relieved immediately after operation, and the pain of 1 patient was relieved slightly, and still needed oral medication to control the pain. Only 1 patient relapsed and continued to take high-dose carbamazepine. After operation, 35 patients had facial numbness and hypoesthesia, all of which were gradually improved and tolerated by the patients. All patients were discharged within two days after surgery. Conclusion Percutaneous trigeminal semilunar ganglion balloon compression is a safe, effective and minimally invasive surgical method for the treatment of trigeminal neuralgia. It can be applied to the elderly and infirm, postoperative recurrence, and patients who are afraid of craniotomy. 【Keywords】Trigeminal neuralgia; Balloon compression; Retrospective analysis