Predictive Model Development for Postoperative Complications in Trigeminal Neuralgia Patients Undergoing Percutaneous Balloon Compression.

Abstract

Trigeminal neuralgia (TN) patients undergoing percutaneous balloon compression (PBC) may experience postoperative complications, warranting the investigation of influencing factors and preventive strategies. A retrospective analysis of 164 TN patients who underwent PBC was conducted to compare baseline characteristics and identify risk factors using LASSO regression. A multivariate logistic regression model was developed to predict complications. Significant differences were observed between complication and non-complication groups related to nerve branches, hypertension, compression duration, and CD4+ levels. The final model identified nerve branches, diabetes, compression duration, and CD4+ levels as independent risk factors. The model exhibited good discriminatory power (AUC = 0.793) and calibration, with meaningful clinical utility shown through DCA. The study established a predictive model for postoperative complications in TN patients undergoing PBC, offering a framework for preoperative risk assessment and tailored preventive interventions.