多层螺旋CT后处理技术在射频热凝治疗三叉神经痛定位中的应用  

The application of multi-slice spiral CT Post-processing techniques in treating trigeminal neuralgia with radiofrequency thermocoagulation.

作　　者：翟淼 朱瑞明 刘垒 于朝阳 林肖彬 

机构地区：[1]山东电力中心医院放射科,山东250001 [2]济南电力医院 [3]山东电力中心医院疼痛科,山东250001

出　　处：《当代医学》2009年第35期712-713,共2页Contemporary Medicine

摘　　要：目的探讨多层螺旋CTMPR重建在射频热凝治疗三叉神经痛定位中的应用。方法对28例三叉神经痛病人,在射频热凝治疗术中应用多层螺旋CT薄层扫描并进行MPR重建,对卵圆孔进行精确定位并调整穿刺针的方向和深度,然后行温控射频热凝治疗。结果穿刺针均位于卵圆孔内,治疗后疼痛即刻缓解,无严重并发症发生。结论多层螺旋CTMPR重建技术引导卵圆孔定位,提高了卵圆孔穿刺的成功率和精确性,增加了操作的安全性,降低并发症发生,可供临床推广应用。Objective To explore the clinical effects of multi-planar reconstruction（MPR） by multi-slice spiral CT（MSCT）in the treatment of trigeminal neuralgia with radiofrequency thermocoagulation.Methods MPR guided oval foramen locations was performed in 28 patients, so that the direction and position could be defined for trigeminal neuralgia.Results All needles located in oval foramen. Pain was alleviated immediately with no serious complication occurred in all of the patients.Conclusion MPR guided oval foramen locations can increase the successful rate of puncture, enhance the safety and reduce the incidence rate of complication. The method could be popularized in the future.

关 键 词：多平面重建技术 卵圆孔 射频热凝术 三叉神经痛 

分 类 号：R745.11[医药卫生—神经病学与精神病学]