文档介绍：半月神经节射频热凝温控术治疗原发性三叉神经痛
(作者:___________单位: ___________邮编: ___________)
作者:王锁良,申小东,王辉,吕建国,王忠华
【摘要】目的观察和分析射频热凝术治疗原发性三叉神经痛的临床疗效及并发症。方法在DSA或C型臂引导下,采用Hartel前入路法,穿刺三叉神经半月节后以温控射频热凝对靶点毁损,温度控制在76~80℃,持续时间1~2min,共3~4次。结果本组56例中,53例术后疼痛完全消失,为Ⅰ级,视为临床治愈,%;1例达Ⅱ级明显缓解;1例达Ⅲ级;1例为Ⅳ级无效。%,%。无严重并发症。结论射频热凝术是治疗原发性三叉神经痛安全可靠及有效的一种微创治疗技术。
【关键词】三叉神经痛;半月神经节;射频热凝术
ABSTRACT: Objective To observe the clinical effects plications of primary trigeminal neuralgia treatment with radiofrequency thermocoagulation on gasserian ganglion. Methods Under the guidance of Carm or DSA and with Hartel method, we percutaneously punctured the oval foramen to gasserian ganglion and performed radiofrequency thermocoagulation on it with thermocontrol
at 76-80℃ for 1-2 minutes, 3-4 times. Results Pain pleted eliminated in 53 of the 56 patients, which was regarded as degree Ⅰ of clinical cure with the curativeness rate being %; 1 case was of degree Ⅱ; 1 case was of degree Ⅲ; 1 case had no effect. The rate of satisfactory effectiveness was % and the total rate of efficacy was %. No plications were observed. Conclusion Radiofrequency thermocoagulation is a safe and effective method to treat primary trigeminal neuralgia with few plications.
KEY WORDS: trigeminal neuralgia; gasserian ganglion; radiofrequency thermocoagulation
原发性三叉神经痛,在国内发病率为50~100人/10万人口,国外文献报道为5~10人/10万人口[1],且随年龄增长而上