三叉神经痛老年复发患者温控射频热凝治疗及其评估  

The evaluation of curative effect of radiofrequency thermocoagulation on semilunar ganglion of aged patients with recurrent trigeminal neuralgia

作　　者：瞿申红[1] 朱习平[1] 王涛[1] 李东云[1] 

机构地区：[1]广西壮族自治区人民医院耳鼻咽喉科,南宁530021

出　　处：《临床耳鼻咽喉头颈外科杂志》2016年第2期135-138,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：国家自然科学基金(No:81460097)

摘　　要：目的:探讨射频温控热凝术治疗三叉神经痛老年复发患者的方法并评价其疗效和意义。方法:应用射频热凝技术对112例三叉神经痛复发老年患者行局部麻醉下经皮穿刺半月神经节温控射频热凝术,行累计有效率等评估。结果:此112例患者,第1次治疗后疗效维持时间平均(7.3±1.3)年后复发。本次温控射频,1次通电射频治疗后疼痛立即减轻的100例(89.28%),2次后疼痛立即减轻的8例(7.14%),3次后疼痛立即的减轻2例(1.79%),疼痛无变化2例(1.79%),总有效率为98.21%。术后5年内VAS评分、卡马西平服用量、面部浅感觉及生活满意度自我评价均能较治疗前好(均P<0.05)。Kaplan-Meier方法显示3年内,累积有效率维持在57.5%以上,其中患者在治疗后大约40个月以后复发风险明显增加。结论:半月神经节温控射频热凝术治疗三叉神经痛老年复发患者是较为理想的方法,复发后可再次应用。Objective：To investigate curative effect and importance of radiofrequency thermocoagulation on semilunar ganglion of aged patients with recurrent trigeminal neuralgia.Method：112cases with recurrent trigeminal neuralgia were performed with radiofrequency thermocoagulation on semilunar ganglion by puncture through skin under local anesthesia.Result：The maintaining effective duration in 112 cases was 7.3±1.3years after primary therapy.After the first thermocoagulation,89.28%（100/112）patients got the relief from pain immediately,8（7.14%）cases also recieved the same effect after twice treatment.However two cases（2.6%）had no effects.The total effective rate was 98.21%.During five follow-up years,VAS scores,dose of carbamazepine and satisfaction were better than those before the treatment.The effective rate was still over 57.5% within three years after the treatment.The recurrent risk increased obviously from 40 months after the treatment by Kaplan-Meier method.Conclusion：Semilunar ganglion of radiofrequency thermocoagulation was an ideal option for old-age patients with trigeminal neuralgia.It can be performed repeatedly.

关 键 词：射频热凝 半月神经节 三叉神经痛 累计有效率 

分 类 号：R745.1[医药卫生—神经病学与精神病学]