CT引导下半月神经节脉冲射频治疗重度原发三叉神经痛  

CT GUIDED GASSERIAN GANGLION PULSED RADIOFREQUENCY TREATMENT FOR SERIOUS PRIMARY TRIGEMINAL NEURALGIA

作　　者：罗芳[1] 申颖[1] 孟岚[1] 刘延青[1] 

机构地区：[1]首都医科大学附属北京天坛医院疼痛中心,北京100050

出　　处：《中国疼痛医学杂志》2014年第5期314-317,共4页Chinese Journal of Pain Medicine

基　　金：首都临床特色应用研究专项资助项目(Z131107002213061)

摘　　要：目的:报道CT引导下半月神经节脉冲射频治疗20例重度原发三叉神经痛患者的疗效。方法:脉冲射频治疗20例三叉神经痛患者,记录患者治疗前及治疗后1年内疼痛数字评分、辅助药物治疗、并发症及不良反应发生情况。结果:术后7例(35%)患者获得比较满意的疗效;13例(65%)患者疗效差、改行射频热凝术治疗后疼痛缓解但均出现面部麻木感和咀嚼肌力弱。脉冲射频治疗后患者无明显的不良反应及并发症。结论:CT引导下半月神经节脉冲射频治疗重度原发三叉神经痛虽然穿刺更准确、无不良反应发生、但是有效率较低,有待开展深入的实验与临床研究改进脉冲射频技术以提高治疗三叉神经痛的疗效。Objective： To investigate the efficacy and safety of CT-guided Gasserian ganglion pulsed radiofrequency treatment （PRFT） for serious primary trigeminal neuralgia （TN）. Methods： 20 TN patients underwent CT-guided PRFT from Pain scores of Numeric rating scale were recorded preprocedure, and at different time points of postprocedure （1 day, 1 week, 2 weeks, 1 month, 3 months, 6 months, and 1 year） ; Medication usage, complications and side effects were also recorded during the one year follow-up after procedure. Results： Approximately 35% （7/20） patients demonstrated a significant improvement in pain scores after one year follow-up. 65% （13/20） patients had received another procedure of radiofrequency ablation because of no statistically difference after one year follow-up compared with preprocedure. Conclusions： This study demonstrated that CT-guided PRFT is not an effective method for idiopathic TN patients although the procedure of PFRT has few complications.

关 键 词：三叉神经痛 治疗 射频 脉冲 

分 类 号：R745[医药卫生—神经病学与精神病学]