摘要
目的评价3种路径射频温控热凝术(RFT)治疗原发性三叉神经痛的临床疗效,探讨RFT的方法、技巧和手术并发症的处理。方法对2001年7月至2006年12月,在我院分别采用眶下孔入路法、侧入路法、前入路法进行RFT治疗的288例原发性三叉神经痛患者临床疗效进行分析。结果288例原发性三叉神经痛患者采用3种路径进行RFT治疗,首次止痛率分别为眶下孔法100.0%、侧路法90.6%、前路法94.0%,首次射频治疗总有效率95.5%,复发率23.4%,经再次射频治疗或手术治疗均获得完全止痛。结论3种路径的选择一定要在诊断明确、定位准确的前提下进行,眶下孔法容易穿刺,首次止痛率100%,侧路法、前路法由于医生熟练程度不同以及病人解剖原因,穿刺不能达到100%的成功。射频手术要预防并发症的发生。射频治疗三叉神经痛操作简便、安全、并发症相对较少、适应症广。
Objective To evaluate the treatment of trigeminal neuralgia with radiofrequency thennocoagulation（RFT） and explore how to solve the complications. Methods The 288 cases of original trigeminal neuralgia collected in recent five years were separated into three groups and treated with RFT though infraorbital foramen way, side way, fore way, respectively, and the curative effects were assessed. Results The acesodyne rates of three groups were 100.0% ,90.6% and 94.0%, the total acesodyne rate of first RFT was 95.5%, recurrence rate was 23.4% and the neural pain could stop through second RFT or operation. Conclusion It is necessary to make definite diagnosis and accurate position before the treatment of RFT. Puncturing through infraorbital foramen is easy, but it is not easy to puncture through side way and fore way because of the doctor＇s proficiency and the patient＇s anatomy. Complications must be prevented in RFT. The convenience, safety and low complications acknowledge wide side of RFT in treatment of trigeminal neuralgia.
出处
《口腔医学》
CAS
2008年第2期92-94,共3页
Stomatology
关键词
射频温控热凝术
三叉神经痛
3种路径
radiofrequency thennoeoagulation
trigeminal neuralgia
three ways
