脉冲射频与射频热凝治疗原发性三又神经痛的疗效分析  

Comparison of pulsed radiofrequency with radiofrequency themocoagulation in the treatment of idiopathic trigeminal neuralgia

作　　者：胡滨[1] 王进钢[1] 

机构地区：[1]广州医学院第二附属医院神经外科,广东广州510260

出　　处：《国际医药卫生导报》2008年第15期11-13,共3页International Medicine and Health Guidance News

基　　金：广州市卫生局立项资助（编号：2005-YB-206）

摘　　要：目的探讨脉冲射频和射频热凝治疗原发性三叉神经痛的效果。方法将60例原发性三叉神经痛患者通过随机分组，分别用脉冲射频和射频热凝作用于三叉神经半月节进行治疗，比较两种方法的治愈率和复发率。结果两组治疗的有效率相近，均达90％以上，射频热凝组并发症出现率高（16．7％），脉冲射频复发率（23．3％）较射频热凝（6．7％）高。结论脉冲射频治疗原发性三叉神经痛是一种安全有效的治疗方法。Objective Comparison of pulsed radiofrequency with radiofrequency themocoagulation in the treatment of idiopathic trigeminal neuralgia. Method 60 patients with idiopathic trigeminal neuralgia were divided into 2 groups and treated by pulsed radiofrequency or radiofrequency themocoagulation. Cure rate and recurrence rate were compared. Results The effective rates were similar in 2 groups. Both of them were higher than 90%. The complication was higher in radiofrequency themocoagulation（16.7%）. The recurrence rate was higher in pulsed radiofrequency（23.3%） than in radiofrequency themocoagulation（6.7%）.Conclusion Pulsed radiofrequency is an effective and safe method in the treatment of idiopathic trigeminal neuralgia.

关 键 词：三叉神经痛 脉冲射频 射频热凝 

分 类 号：R74[医药卫生—神经病学与精神病学]