螺旋CT引导下半月神经节脉冲射频治疗三叉神经痛的回顾性分析  

A Retrospective Analysis of Spiral CT-Guided Gasserian Ganglion Pulse RadioFrequency Therapy for Trigeminal Neuralgia

作　　者：刘刚 贾子普 LIU Gang;JIA Zi-pu(Department of Anesthesiology,Beijing Daxing Hospital,Capital Medical University,Beijing 102600;Department of Pain Management,Beijing Tiantan Hospital,Capital Medical University,Beijing 100050)

机构地区：[1]首都医科大学大兴医院麻醉科,北京102600 [2]首都医科大学附属北京天坛医院疼痛科,北京100050

出　　处：《神经损伤与功能重建》2023年第4期201-204,共4页Neural Injury and Functional Reconstruction

基　　金：首都卫生发展科研专项项目基金(No.2020-2-2046)。

摘　　要：目的:分析螺旋CT引导下半月神经节脉冲射频(PRF)治疗三叉神经痛(TN)的安全性、有效性及长期临床疗效。方法:选取接受半月神经节PRF治疗的经典TN患者121例的临床资料进行回顾性分析,比较患者治疗前后BNI疼痛分级,记录围术期并发症;通过Kaplan-Meier分析患者的术后复发情况及长期疗效。结果:PRF治疗经典TN的初始有效率为85.12%;患者术后1、6、12、48、96、120个月的无痛生存率分别为85.12%、82.62%、78.98%、70.47%、63.98%、61.08%;治疗过程中未见明显不良并发症。结论:CT引导下半月神经节PRF治疗经典TN,安全、有效,副作用少,适用于高龄、合并症多不能耐受全身麻醉的患者。Objective:To retrospectively analyze the safety,efficacy,and long-term curative effect of spiral CT-guided pulse radiofrequency(PRF)therapy on gasserian ganglion for trigeminal neuralgia(TN).Methods:The medical data of 121 classic TN patients who underwent gasserian ganglion PRF treatment were analyzed,and preoperative and postoperative BNI pain intensity were compared.Data on perioperative complications were retrospectively collected,and the Kaplan-Meier analysis was used to evaluate pain recurrence and long-term curative effect.Results:The initial pain relief rate was 85.12%,and the cumulative recurrence-free survival after the procedure was 85.12%,82.62%,78.98%,70.47%,63.98%,and 61.08%at 1,6,12,48,96,and 120 months,respectively.There were no adverse complications noted during treatment.Conclusion:Spiral CT guided gasserian ganglion PRF treatment for classic TN is safe,effective and has few side effects.It is suitable for elderly patients with multiple comorbidities who cannot tolerate general anesthesia.

关 键 词：螺旋CT 三叉神经痛 脉冲射频 回顾性研究 

分 类 号：R741[医药卫生—神经病学与精神病学] R741.05[医药卫生—临床医学] R745