摘要
对48例采用耳-床线定位射频治疗三叉神经痛的患者进行5年的回顾和分析,观察术后疼痛、复发及并发症情况。一次性穿刺成功率100%;经1次治疗疼痛完全消失者46例,疼痛明显减轻、发作次数明显减少者2例,无复发病例,无穿刺相关并发症发生。通过回顾分析确定穿刺针针尖到耳-床线垂直距离控制在:第Ⅲ支8～10mm,第Ⅱ支6～7mm,第Ⅰ支4～5mm。为避免三叉神经第Ⅰ支损伤,垂直距离控制在6mm以上而且针尖决不能超过耳-床线。
In 48 postoperative cases using ear-clinoidal line positioning in radiofrequency thermocoagulation for treatment of trigeminal neuralgia, observing its recurrence and postoperative pain and complications in a five-year review. The successful rate of puncturing one time was 100%. Pain disappeared completely in 46 cases with one therapy. Two cases alleviated pain and decreased outbreak times. No recurrence and postoperative complications were observed. The vertical distance between the needle tip and the ear-clinoidal line were confirmed 8 - 10 mm in the third branch, 6 - 7 mm in the twice branch, 4 - 5 mm in the first branch. Ill order to avoid the first branch of trigeminal nerve injury, the vertical distance must be less than 6 mm, and the needle tip can not exceed ear-clinoidal line.
出处
《实用口腔医学杂志》
CAS
CSCD
北大核心
2010年第2期263-264,共2页
Journal of Practical Stomatology
关键词
原发性三叉神经痛
射频温控热凝术
X线
Primary trigeminal neuralgia
Radiofrequency thermocoagulation
X- ray
