CT引导下半月神经节射频热凝治疗三叉神经痛  

CT-guided semilunar ganglion radiofrequency thermocoagulation in treatment of trigeminal neuralgia

作　　者：杨云春[1] 王昭斌 武百山[3] 

机构地区：[1]泸州医学院附属中医院疼痛科,四川泸州646000 [2]侯马市人民医院,山西侯马043000 [3]北京宣武医院疼痛诊疗中心,北京100050

出　　处：《西部医学》2011年第4期632-634,共3页Medical Journal of West China

摘　　要：目的观察CT引导下半月神经节射频热凝术治疗原发性三叉神经痛的临床疗效。方法 40例三叉神经痛患者在CT引导下,经前入路法穿刺三叉神经半月节后行射频热凝毁损治疗,温度控制在65-80℃持续时间3min,共3-4次。结果 40例患者中,32例疗效Ⅰ级,5例疗效Ⅱ,2例疗效Ⅲ级;一次性治疗显效率92.5%,总有效率97.5%。1例为Ⅳ级无效。结论 CT引导行三叉神经半月神经节射频热凝术是一种安全、可靠、有效的微创治疗技术,具有临床推广应用价值。Objective To observe and analyze therapeutic effect by CT-guided semilunar ganglion radiofrequency thermocougulation in treatment trigeminal neuralgia.Methods40 patients with trigeminal neuralgia received CT-guided semilunar ganglion apuncture,and then radiofrequency thermocougulation were performed under the thermal controlled from 65 to 80 ℃ and continued 3 minutes for 3 to 4 times.ResultsPain was completed eliminated in 32 of the 40 patients,which was regarded as degree I.5 cases was of degree Ⅱ.2 case was of degree Ⅲ.1 case had no effect.The rate of satisfactory effectiveness was 92.5% and the total rate of efficacy was 97.5%.ConclusionCT-guided semilunar ganglion radiofrequency thermocoagulation in treatment of trigeminal neuralgia is safe and effective to treat trigeminal neuralgia.

关 键 词：CT引导 半月神经节 射频热凝 三叉神经痛 

分 类 号：R745.11[医药卫生—神经病学与精神病学]