改良射频温控热凝术治疗原发性三叉神经痛疗效观察  

Effect of modified radiofrequency thermocoagulation on primary trigeminal neuralgia

作　　者：朱浩[1] 华泽权[1] 薛聪聪[1] 张力[1] ZHU Hao;HUA Ze-quan;XUE Cong-cong;ZHANG Li(Department of Stomatology,The General Hospital of Shenyang Military Command,Shenyang 110016,China)

机构地区：[1]沈阳军区总医院口腔科,辽宁沈阳110016

出　　处：《创伤与急危重病医学》2018年第4期205-207,共3页Trauma and Critical Care Medicine

基　　金：辽宁省自然科学基金(201602803)

摘　　要：目的探讨微创手术治疗原发性三叉神经痛的可行性和有效性。方法选取自2015年1月至2016年12月沈阳军区总医院收治的30例原发性三叉神经痛患者为研究对象,经颌下-卵圆孔入路穿刺,行半月神经节射频温控热凝术治疗,观察术后患者疼痛的缓解程度。结果本组30例患者中,术后即刻疼痛缓解27例,3例经服用小剂量卡马西平3~7 d疼痛消失。术后1年,1例患者复发,临床总有效率为96.7%(29/30)。本组30例患者均出现病变区域皮肤麻木感,眼角膜均未受累。其中,6例患者咀嚼力减退,并发症的发生率为20.0%(6/30)。结论采用颌下-卵圆孔入路穿刺方法行射频温控热凝术治疗三叉神经痛安全可靠,疗效满意。Objective To investigate the feasibility and efficiency of a minimally invasive treatment of trigeminal neuralgia. Methods A retrospective study was performed on 30 cases of patients with primary trigeminal neuralgia who were admitted from January 2015 to December 2016. Patients were treated with radiofrequeney thermoeoagulation through submandibullar region and foramen ovale approach to gassers ganglation,the pain relief of postoperative patients was observed. Results All the 30 patients in this group, 27 had immediate postoperative pain relief, and 3 patients had disappeared after taking small dose earbamazepine for 3-7 days. One year after surgery, 1 patient recurred, and the total clinical effective rate was 96. 7% （29/30）. All the 30 patients in this group showed skin numbness in the lesion area and the cornea was not involved. The incidence of complications was 20. 0% （6/30）. Conclusion The minimally invasive treatment of trigeminal neuralgia through submandibullar region and foramen ovale approach is satisfaetory, safe and reliable ,which is worth of clinical promotion.

关 键 词：三叉神经痛 穿刺术 射频温控热凝术 微创手术 

分 类 号：R745.1[医药卫生—神经病学与精神病学]