《中国康复理论与实践》

《中国康复理论与实践》 ›› 2011, Vol. 17 ›› Issue (11): 1013-1015.

• 论文 • 上一篇    下一篇

螺旋CT引导半月节脉冲射频治疗三叉神经痛的远期疗效观察

孟岚1，程灏1，王保国2   

  1. 1.首都医科大学附属北京天坛医院麻醉疼痛科，北京市100050；2.北京三博脑科医院麻醉疼痛科，北京市100093。
  • 收稿日期:2011-09-03 修回日期:1900-01-01 出版日期:2011-11-25 发布日期:2011-11-25
  • 通讯作者: 程灏

Prospective Efficacy of Pulsed Radiofrequency Guided with Spiral CT on Trigeminal Neuralgia: Long-term Observation

MENG Lan, CHENG Hao, WANG Bao-guo.   

  1. Department of Anaesthesiology, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050,China
  • Received:2011-09-03 Revised:1900-01-01 Published:2011-11-25 Online:2011-11-25

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摘要： 目的观察螺旋CT 引导下半月节穿刺脉冲射频治疗三叉神经痛的远期疗效。方法100 例原发性三叉神经痛患者分为研究组(脉冲射频组，n=44)和对照组(射频热凝组，n=56)。比较治疗前，治疗后0.5 年、1 年、2 年时的疼痛数字模拟评分(NRS)及临床疗效。结果治疗后1 年内两组NRS 无显著性差异，但2 年后研究组复发率明显高于对照组(P<0.01)。结论半月节脉冲射频治疗三叉神经痛安全有效，但远期疗效欠佳。

关键词: 三叉神经痛, 半月节, 脉冲射频, 射频热凝术

Abstract: Objective To investigate the prostecdtive therapeutic efficacy of pulsed radiofrenquency and radiofrequency thermocoagulationof the Gasserian ganglion guided with spiral CT on trigeminal neuralgia. Methods 100 patients with idiopathic trigeminal neuralgiawere treated with pulsed radiofrenquency or radiofrequency thermocoagulation of gasserian ganglion. The numeric rating scales (NRS) ofpain were recorded before and 0.5 year, 1 year, and 2 years after treatment. Results There was no difference in NRS within 1 year, but the recurrencerate was high in the paitents accepted pulsed radiofrenquency 2 years later (P<0.01). Conclusion Pulsed radiofrenquency of thegasserian ganglion is safe and effective on trigeminal neuralgia, but poor in long-term outcome.

Key words: trigeminal neuralgia, gasserian ganglion, pulsed radiofrenquency, radiofrequency thermocoagulation