选择性射频热凝治疗三叉神经痛  

Selective radiofrequency thermocoagulation for trigeminal neuralgia

作　　者：刘玉光[1] 王宏伟[1] 徐淑军[1] 杨扬[1] 张良文[1] 吴承远[1] 

机构地区：[1]山东大学齐鲁医院神经外科,济南250012

出　　处：《中华医学杂志》2010年第29期2059-2061,共3页National Medical Journal of China

摘　　要：目的 研究选择性射频热凝治疗三叉神经痛的手术技巧、经验及神经导航在三叉神经痛射频热凝中的应用价值.方法 对3269例三叉神经痛的患者实行了选择性射频热凝治疗,其中36例采用了神经导航卵圆孔精确定位选择性射频热凝治疗.并对1722例进行了2年以上的随访.结果 优秀2590例,良好548例,无变化131例;1、2年复发率分别是10.5%和25.0%.36例神经导航卵圆孔定位的患者疗效均达到优秀.本组总有效率96%,无严重手术并发症及死亡.结论 选择性射频热凝治疗三叉神经痛安全、有效,神经导航定位射频热凝可提高三叉神经痛的手术疗效,降低手术危险性.Objective To study the technique and experience of selective radiofrequency thermocoagulation （ SRFTC ） for trigeminal neuralgia （ TN ） and the application of neuronavigation in SRFTC for TN. Methods SRFTC was performed in 3269 TN patients and neuronavigation-assisted SRFTC in 36 of them. Follow-up was carried out for over 2 years in 1722 cases. Results An excellent efficacy was achieved in 2590 cases, a fair outcome in 548 cases and no response in 131 cases. The recurrence rates at one and two years were 10.5% and 25.0% respectively. The efficacy was excellent in all cases treated by neuronavigation-assisted SRFTC. The effective rate was 96%. Neither serious complication nor death occurred in this series. Conclusion SRFTC for TN is both safe and effective. And the neuronavigation technique can not only increase the surgical efficacy of SRFTCP for TN but also decrease the surgical risks.

关 键 词：三叉神经痛 射频热凝术 神经导航 

分 类 号：R745.11[医药卫生—神经病学与精神病学]