摘要
目的评估功能定位结合CT定位射频热凝术治疗原发性三叉神经痛的中远期疗效。方法选择60例原发性三叉神经痛患者,行功能定位结合CT定位射频热凝术,分别于术后1、6、12、18个月随访治疗效果、并发症和复发情况。结果疼痛缓解率术后1个月为96.67%(58/60),18个月为98.33%(59/60)。术后1个月55.00%(33/60)患者存在各种并发症,18个月时15.00%(9/60)患者仍有并发症,并发症主要为面部感觉减退。随访期间共复发4例(6.67%)。结论功能定位结合CT定位射频热凝术可提高卵圆孔和疼痛神经支的定位准确性,从而缩短手术时间,提高患者手术耐受性,改善治疗效果。
Objective To evaluate the middle and long term efficacy of radiofrequency thermocoagulation locating by function combined with CT for treatment of trigeminal neuralgia.Methods There were 60 patients with trigeminal neuralgia were enrolled in the study.The radiofrequency thermocoagulation was performed with function combined with CT location.The postoperative recurrence rate,surgical complications and efficacy were observed after 1 months,6 months,12 months and 18 months of operation.Results The effective rates after 1 months and 18 months of operation were 96.67%（58/60）and 98.33%（59/60）respectively.The proportions of patients with surgical complications after 1 month and 18 months of operation were 55.00%（33/60）and 15.00%（9/60）respectively.The main complication was facial hypoesthesia.The postoperative recurrence rate after 18 months of operation was 6.67%.Conclusion The radiofrequency thermocoagulation locating by fune tion combined with CT could significantly increase the puncture accuracy,reduce the operating time,enhance patients endurance, and improve therapeutic efficacy for treatment of trigeminal neuralgia.
出处
《疑难病杂志》
CAS
2011年第6期414-416,共3页
Chinese Journal of Difficult and Complicated Cases
关键词
三叉神经痛
原发性
定位
射频热凝术
Trigeminal neuralgia
primary
Location
Radiofrequency thermocoagulation
