不同射频治疗模式治疗三叉神经痛的疗效观察  

Observation of Different Radio Frequency Models on Therapeutic Effect in Trigeminal Neuralgia

作　　者：王正凯[1] 陈玉明[1] 迪丽白尔[1] 王德全[1] 

机构地区：[1]新疆维吾尔自治区人民医院疼痛科,乌鲁木齐830001

出　　处：《新疆医学》2015年第11期1645-1647,共3页Xinjiang Medical Journal

摘　　要：目的本研究旨在观察原发性三叉神经痛患者,在CT引导定位半月神经节不同温度热凝毁损治疗与脉冲射频治疗下的效果对比及并发症的差异,并对疗效及安全性进行评估。方法 45例病人,均经过临床及CT或MRI检查确诊,随机分成A、B、C三个治疗组,每组15人。A组80℃,B组55℃,C组42℃,三组均操作120S,并重复二次。分别记录治疗前和治疗后1天、3天、1个月、3个月和6个月的VAS评分,疗效评价及不良反应的评估与比较。结果 80℃热凝毁损疼痛缓解最优,相比差异有统计学意义(P<0.05),但并发症较多;55℃热凝毁损与42℃脉冲治疗效果差异相近,相比差异无统计学意义(P>0.05);但42℃脉冲治疗后并发症最少。结论 80℃热凝毁损治疗成功率高、效果确切,但也发生诸多并发症;42℃脉冲治疗可有效的缓解患者疼痛,术后并发症少,安全性高,有待进一步探讨。Objective To observe and compare the effect and complication of different temperatures radio frequency with pulsed radio frequency on ganglion under CT guided in the patients with primary trigeminal neuralgia, and then evaluate the efficacy and safety.Methods 45 patients whom were clearly diagnosed with trigeminal neuralgia by CT or MRI were randomly divided into A, B, C groups.15 patients in each group. Group A 80℃, Group B 55℃, Group C 42℃, Treatment lasted 120 s in all three groups, and repeated twice.VAS scores and appraisal of efficacy and complication were collected 1 day before treatment, 1 day, 3 days, 1 month, 3 months, and 6months after treatment. Results 80℃ group received the optimal pain relief effect. There was statistically significant（P〈0.05）, but also had more complications. The effect was similar in 55℃ and 42℃ groups, and the difference was not statistically significant（P〈0.05）, but in 42℃ group the complication was least. Conclusion 80℃ radio frequency had high success rate and exact effect, but also with more complications; 42 ℃ pulse treatment can effectively relieve pain,high safety,and with less postoperative complications, need to be further explored.

关 键 词：原发性三叉神经痛 射频热凝 脉冲射频 并发症 

分 类 号：R745.11[医药卫生—神经病学与精神病学]