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| 数字化3D打印导板导航技术在三叉神经半月神经节射频热凝术中的应用 |
| Application of digital 3D printing guide navigation technology in percutaneous radiofrequency thermocoagulation of trigeminal semilunar ganglion |
| 投稿时间：2023-07-17 修订日期：2023-07-17 |
| DOI： |
| 中文关键词: 数字化设计 3D打印 导板导航 经皮穿刺三叉神经半月神经节射频热凝术(PRT) 三叉神经痛 |
| 英文关键词: Digital design 3D printing Navigation module Percutaneous radiofrequency thermocoagulation of the trigeminal ganglion Trigeminal neuralgia |
| 基金项目:2021年深圳市南山区科技计划项目（NS2021027）;深科技创新[2020]230号 |
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| 中文摘要: |
| 目的:评估3D打印导板导航技术应用于三叉神经半月神经节射频热凝术(PRT)的临床疗效。方法:选取我院35例原发性三叉神经痛，有PRT指征的患者为研究对象，随机分为观察组(n=20)和对照组(n=15)，观察组用3D打印导板导航辅助PRT，对照组在DSA引导下行PRT。比较两组经皮穿刺到达靶点所需时间、一次穿刺成功率、手术时长、DSA扫描次数、患者术中不适、术后即刻、术后3天、30天疼痛评分、术后1、3、6月疗效评估、手术满意度、并发症发生率。结果:观察组在一次穿刺成功率、穿刺到达靶点时间、手术时长、DSA扫描次数、术中不适、术后不良反应、术后即刻、术后3天疼痛评分均低于对照组(P<0.001)。两组术后30天疼痛评分、术后1、3、6月疗效评估、满意度、二次手术差异无统计学意义（P>0.05）结论:3D打印导板导航技术辅助PRT可提高手术的高效性、安全性，减少疼痛及不良反应，有良好临床应用前景。 |
| 英文摘要: |
| Abstract Objective: To evaluate the clinical efficacy of 3D printed guide navigation technology in percutaneous radiofrequency thermocoagulation of trigeminal semilunar ganglion (PRT).Methods: Thirty-five hospitalized patients with trigeminal neuralgia were randomly divided into observation group (n = 20) and control group (n = 15), Observation group patients were treated under the guidance of navigation system. The control group was treated by DSA guide. The time of puncture to target, success rate of one-time puncture, operation duration, the number of DSA scans,the pain scores immediately after surgery, 3 days，30 days after surgery and clinical efficacy at 1m, 3m, and 6m，satisfaction of operation as well as the incidence of complications and adverse reactions were compared between the two groups. Results: Success rate of one puncture，time of puncture to target，operation duration, DSA scan times，incidence of intraoperative and postoperative adverse reactions, pain scores immediately after surgery and 3 days after surgery in the observation group were significantly reduced compared with control group(P<0.001). There was no significant difference in pain scores at 30 days after surgery, evaluation of efficacy, satisfaction and second operation 1, 3 and 6 months after surgery between the two groups (P>0.05).Conclusion: 3D printing guide navigation technology to assist PRT can improve the efficiency and safety of surgery, reduce pain and adverse reactions, and has a good clinical application prospect. |
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