摘要
[目的]探讨螺旋CT引导下经皮穿刺卵圆孔注射阿霉素联合无水酒精毁损疗法治疗三叉神经痛的技术及临床应用价值.[方法]本院收治的45例三叉神经痛患者采用螺旋CT引导经皮穿刺卵圆孔,缓慢注射无水酒精和阿霉素0.2~0.5 mL.采用视觉模拟疼痛评分 （VAS）测定疼痛强度.[结果]45例治疗后,即刻疼痛完全缓解者8例（17.8%）;一周后疼痛完全缓解39例（86.8%）,明显缓解5例.经治疗后6个月、12个月随访观察,有效率分别为 97.8%,97.8%.并发症少而轻微.[结论]螺旋CT引导下经皮穿刺卵圆孔注射阿霉素联合无水酒精毁损疗法对三叉神经痛具有定位准确,无痛苦,操作简单、安全,并发症少的优点,具有临床推广应用价值.
[Objective] To explore the technique and clinical value of spiral CT-guided percutaneous etha- nol and adriamycin injection for blocking foramen ovale in the treatment of trigeminal neuralgia. [Methods]Totally 45 patients with trigeminal neuralgia were treated with percutaneous 0.2-0.5 mL ethanol and adriamycin injection by spiral CT-guided foramen ovale blocking therapy. Visual analogue scales（VAS） was used to measure the pain degree. [Results] After treatment, instant total pain relief was obtained in 8 cases（17.8%）, and total pain relief after a week was obtained in 39 cases（86.8%）, and obvious pain relief was obtained in 5 cases. After the follow up, the effective rate at 6 months and 12 months of follow up was 97.8%. Less or mild complications were found. [Conclusion] Spiral CT-guided percutaneous ethanol and adriamycin injection for blocking foramen ovale in the treatment of trigeminal neuralgia has advantages such as precise location, no pain, simple operation, safety and less complication. Therefore it is worthy of clinical promotion.
出处
《医学临床研究》
CAS
2012年第4期740-742,共3页
Journal of Clinical Research
