半月神经节射频热凝治疗难治性三叉神经痛  

Radiofrequency thermocoagulation to trigeminal ganglion guided by C-arm for intractable trigeminal neuralgesia

作　　者：文马力 宋文阁[2] 

机构地区：[1]重庆市急救中心麻醉科,400014 [2]山东省立医院疼痛治疗中心,济南250021

出　　处：《重庆医学》2006年第7期587-588,共2页Chongqing medicine

摘　　要：目的探讨半月神经节射频热凝治疗难治性三叉神经痛效果和安全性。方法对三叉神经第Ⅱ支合并第Ⅰ、Ⅲ支或Ⅰ、Ⅱ、Ⅲ支并存疼痛者应用改良的前入路卵圆孔穿刺法行射频热凝毁损术。应用C型臂定位下行卵圆孔穿刺。射频温度控制在75-90℃。结果优良46例，良好1例，总有效率为100％。无严重并发症，随访42例3～18个月，无复发患者。结论在C型臂引导下射频热凝半月神经节毁损术治疗难治性三叉神经痛疗效可靠、定位准确，时患者更安全。Objective To investigate the effects and safe of radiofrequency thermoeoagulation to trigeminal ganglion for intractable trigeminal neuralgesia, Methods Fourty seven patients with intractable trigeminal neuralgesia were involved in this study. The neuralgesia presented of branch Ⅱ with branch Ⅰ and Ⅲ or all three branches. The target puncture was guided by C-arm scanning with ovale foramen income. The temperature of radiofrequency tip was 75-90℃. Results The exeellenct results were achieved in 46 cases, improvement in 1 cases, and the total effective rate was 100% without any severe complication. The follow-up of 42 cases was carried out for 3 to 18 months and there was no recurrence. Conclusion The radiofrequency thermocoagulation to trigeminal ganglion guided by C-arm is effective to intractable trigeminal neuralgesia with accurate orientation. The improved method is safe.

关 键 词：三叉神经痛 半月神经节 射频 C型臂 

分 类 号：R745.11[医药卫生—神经病学与精神病学]