Objective To investigate the related factors of percutaneous balloon compression (PBC) for the treatment of trigeminal neuralgia complicating cerebrovascular disease in order to reduce the incidence of surgical complications. Methods The clinical data in patients with trigeminal neuralgia complicating cerebrovascular disease treated with PBC in the People's Hospital of Liaoning Province from December 2000 to December 2010 were analyzed retrospectively. The reasons for its occurrence were investigated. Results Of the 6 759 patients with trigeminal neuralgia who received PBC treatment, 10 (0. 15％ ) developed cerebrovascular disease,and 2 of them had arteriovenous fistula; 5 patients developed intracranial hemorrhage: 2 acute subdural hemorrhage, 2 intraventricular hemorrhage with subarachnoid hemorrhage, and 1 small amount of bleeding in brain stem; 1 patient developed internal carotid hemorrhage during the intraoperative puncture and the operation was stopped temporarily, and he was reoperated successfully after 2 weeks; 2 patients had cerebral infarction, they were all in the risk population of cerebrovascular disease, and 3 weeks after treatment, their disease conditions were improved. One of them left severe paralysis of limbs at discharge. Condusions The treatment of trigeminal neuralgia with PBC is safe and the incidence of cerebrovascular complications is lower. The surgical operations and blood pressure changes are the important causes of cerebrovascular complications.%目的 探讨三叉神经痛经皮球囊压迫术（percutaneous balloon compression，PBC）并发脑血管病的相关因素，以减少手术相关并发症的发生。方法 回顾性分析辽宁省人民医院2000年12月至2010年12月期间采用PBC治疗三叉神经痛中并发脑血管病患者的临床资料，探讨其发生的原因。结果 在6 759例接受PBC治疗的三叉神经痛患者中，共有10例(0.15％)发生脑血管病，其中动静脉瘘2例；颅内出血5例：急性硬膜下出血2例，脑室出血伴蛛网膜下腔出血2例，脑干少量出血1例；1例在术中穿刺时发生颈内动脉出血而暂时停止手术，2周后再次手术成功；脑梗死2例，均为脑血管病危险人群，治疗3周后病情均有改善，其中1例出院时遗留较严重肢体瘫痪。结论 PBC治疗三叉神经痛安全，脑血管病并发症发生率较低，手术操作和血压变化是发生脑血管病并发症的重要原因。
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