射频热凝下关穴治疗第Ⅱ支原发性三叉神经痛临床疗效观察  

Curative Observation on Radiofrequency Ablation of Xiaguan Acupoint for Primary Branch Ⅱ Trigeminal Neuralgia

作　　者：杨娟[1] 熊东林[1] 蒋劲[1] 罗裕辉[1] 梁豪文[1] 

机构地区：[1]深圳市南山区人民医院,广东深圳518052

出　　处：《四川中医》2014年第12期146-148,共3页Journal of Sichuan of Traditional Chinese Medicine

摘　　要：目的:观察射频热凝下关穴治疗第II支原发性三叉神经痛的临床疗效。方法:对25例原发性三叉神经痛(第II支)患者在DSA定位引导下行经下关穴行射频热凝术,观察手术治疗效果,手术并发症及半年后随访复发率。结果:经治疗后,所有患者均出现下颌神经支配区域不同程度的皮肤麻木,其中6例患者痊愈(治愈率24%),15例患者显效(显效率60%),4例有效(有效率16%),0例患者无效(无效率0%)。术中、术后并发症分别为4例和1例,予积极对症处理后皆改善。半年后随访复发1例。结论:经下关穴射频热凝治疗第II支原发性三叉神经痛,利用祖国传统医学下关穴的穴位特异性及治疗优势,不仅临床疗效高,手术并发症及复发率低,且定位确切、操作方便,值得进一步推广。Objective ： To observe the clinical efficacy of radiofrequency ablation of Xiaguan acupoint （ ST7 ） for primary branch II trigeminal neuralgia. Methods： 25patients with intractable branch II primary trigeminal neuralgia were em＇olled and treated by radiofrequency ablation of ST7under the guidance of DSA. Surgical therapeutic effect and complications, recurrence of follow-up after six months were observed. Results： Different degrees skin numbness was found along the mandibular nerve distri- bution regions of all the patients. 6patients totally cured （ 24% ）, 15patients obviously effective （ 60% ）, 4cases effective （ 16% ） and no ineffective （0%）. Complications in and after surgery were four cases and one. One recurrence was found after six months of follow-up. Conclusion ： The method radiofrequency ablation of ST7for primary branch II trigeminal neuralgia under the guidance of DSA, combined the specificity and therapeutic advantages of ST7, is worthy of further applying and popularizing tbr its high therapeutic efficacy, few complications, lower recurrence rate, exact positioning and easy to operate.

关 键 词：三叉神经痛 射频热凝 下关穴 

分 类 号：R745.11[医药卫生—神经病学与精神病学]