三维CT引导下经卵圆孔穿刺射频治疗三叉神经痛  

Radiofrequency Thermocoagulation for Trigeminal Neuralgia through 3D-CT-guided Ovale Foramen

作　　者：张杰[1] 孟箭[1] 庄乾伟[1] 吴蕊含 王兴[1] 

机构地区：[1]东南大学医学院附属徐州医院徐州市中心医院口腔科,江苏徐州221009

出　　处：《口腔颌面外科杂志》2016年第4期285-289,共5页Journal of Oral and Maxillofacial Surgery

基　　金：徐州市社会发展科技计划(KC14SH021)

摘　　要：目的:探讨三维CT引导下经卵圆孔穿刺射频治疗三叉神经痛的临床疗效。方法:随机选取我院2013—2015年收治的三叉神经痛患者38例,行三维CT引导卵圆孔穿刺射频术治疗,对其临床疗效和术后并发症进行分析,并进行6个月的随访。结果:38例患者行三维CT引导卵圆孔穿刺射频治疗三叉神经痛手术均成功。术后第1天有效率达78.95%,12例患者完全缓解,有1例未缓解。术后1个月与术后6个月的有效率分别为94.74%和97.37%,二者之间差异不具有统计学意义(P>0.05),且均显著高于术后第1天和第7天,差异均具有统计学意义(P<0.05)。结论:三维CT引导下经卵圆孔穿刺射频治疗三叉神经痛可提高穿刺成功率,减少并发症,选择性毁损痛觉纤维有助于提高患者生活质量,值得临床推广使用。Objective： To investigate the clinical efficacy of 3D-CT-guided ovale foramen locations in radiofrequency thermocoagulation for trigeminal neuralgia. Methods：38 cases with trigeminal neuralgia in our hospital from 2012 to 2015 were randomly selected for the study and treated with 3D-CT-guided ovale foramen locations in radiofrequency thermocoagulation. The clinical efficacy and postoperative complications were analyzed and the patients were followed up for 6 months. Results： The operations for 38 patients were successful. The effective rate of the patients on the first day after operation was 78.95%. 12 cases of patients revealed a complete remission, except one patient with no remission. The effective rate increased to 94.74% one month after therapy, and the effective rate was 97.37% at six month after therapy, without statistical difference （P〉0.05） between the effective rates of the two time points. Both the effective rate were significantly higher than the first day and 7 days after therapy, and the difference were statistically significant （P〈0.05）. Conclusion： The treatment of 3D-CT-guided ovale foramen locations in radiofrequency thermocoagulation for trigeminal neuralgia, can improve the success rate of operation, reduce complications, and is worthy of clinical promotion.

关 键 词：三维CT引导 射频 三叉神经痛 

分 类 号：R745.11[医药卫生—神经病学与精神病学]