应用立体定向仪与徒手穿刺治疗三叉神经痛的比较  

Comparison of the curative effects on trigeminal neuralgia treated with trigeminus stereotactic instrument and free-hand puncture

作　　者：陈小华[1] 江野峰[1] 庄志浩[1] 何锦[1] 梁庆新[1] 

机构地区：[1]广东佛山市中医院神经外科,528000

出　　处：《立体定向和功能性神经外科杂志》2005年第3期171-172,170,共3页Chinese Journal of Stereotactic and Functional Neurosurgery

基　　金：广东省科技攻关计划项目(编号:(1999)245-8);佛山市重点科技攻关项目(编号:00-SC-66;0008007A)

摘　　要：目的比较应用三叉神经立体定向仪与徒手穿刺三叉神经半月节治疗原发性三叉神经痛的疗效。方法随机将250例原发性三叉神经痛患者,分为应用DZY-C型三叉神经立体定向仪穿刺组(定向组)及应用Hartel法徒手穿刺组(徒手组)进行治疗。结果定向组穿刺成功率、穿刺失败率均明显优于徒手组(P<0.01);而复发率与徒手组比较有降低的趋势(P=0.0986)。结论应用立体定向仪(DZY-C)治疗原发性三叉神经痛的疗效及安全性较徒手穿刺好。Objective Comparison of the curative effects on primary trigeminal neuralgia treated with trigeminus stereotactic instrument and free-hand puncture on semilunar ganglion.Methods Randomly divided 250 patients suffering from primary trigeminal neuralgia into two groups:one is treated with trigeminus stereoguide apparatus of DZY-C type(called “T.S.Group”) and another is treated with free-hand technique (called “F.H.Group”).Results The success rate and the failure rate of the T.S.Group are obviously superior to those of the F.H.Group ( P <0.01);meanwhile,the recurrence rate of the T.S.Group tends to decrease,comparing with the F.H.Group ( P =0.0986).Conclusion The curative effect and safety factor of stereotactic instrument(DZY-C) surpass the free-hand puncture on treating primary trigeminal neuralgia.

关 键 词：三叉神经痛 立体定向仪 临床应用 

分 类 号：R745.11[医药卫生—神经病学与精神病学]