CT/MRI图像融合技术与CT引导三叉神经半月节射频热凝术的疗效对比  

Contrast of the therapeutic effect of CT/MRI image fusion technology and CT guided radiofrequency thermocoagulation of trigeminal semilunar ganglion

作　　者：沈静 王梦格 宋阳[1] 任振华[2] Shen Jing;Wang Mengge;Song Yang;Ren Zhenhua(Dept of Pain,The First Affiliated Hospital of Anhui Medical University,Hefei 230022;Dept of Human Anatomy,Anhui Medical University,Hefei 230032)

机构地区：[1]安徽医科大学第一附属医院疼痛科,合肥230022 [2]安徽医科大学人体解剖学教研室,合肥230032

出　　处：《安徽医科大学学报》2024年第3期538-541,546,共5页Acta Universitatis Medicinalis Anhui

基　　金：安徽医科大学临床医学学科建设项目(编号:9001001875);炎症免疫性疾病安徽省实验室开放基金项目(编号:IMMDL202106)。

摘　　要：目的对比CT/MRI图像融合技术和传统CT引导经皮三叉神经半月节射频热凝术的疗效。方法收集88例原发性三叉神经痛患者医疗信息,按不同影像引导方式随机平均分为对照组(CT引导三叉神经半月节射频热凝术)和融合组(CT/MRI图像融合技术辅助三叉神经半月节射频热凝术);对穿刺操作时间、术中不适发生率以及术前、术中和术后的视觉模拟评分法(VAS)评分、巴罗神经学研究所(BNI)疼痛评分及术后并发症发生率进行比较。结果融合组穿刺操作耗时短于对照组(P<0.05);融合组术中和术后的VAS及BNI评分、术中不适、术后并发症发生率均低于对照组(P<0.05)。结论在提高疗效、减少术中不适、术后并发症方面,CT/MRI图像融合技术较CT引导更具优越性。Objective To evaluate the therapeutic effect of CT/MRI image fusion and usual CT guided percutaneous radiofrequency thermocoagulation of trigeminal semilunar ganglion.Methods The medical information of 88 patients diagnosed with primary trigeminal neuralgia were assembled.In accordance with different imaging guidance means,they were equally divided into the control group(trigeminal semilunar ganglion radiofrequency thermocoagulation with CT guidance)and the fusion group(trigeminal semilunar ganglion radiofrequency thermocoagulation with assistance of CT/MRI image fusion technology)at random.The puncture time,intraoperative discomfort rate,preoperative,intraoperative and postoperative visual analogue scale(VAS)score,Barrow neurological institute(BNI)pain score and postoperative complication rate were contrasted.Results The puncture operation time of the fusion group was shorter than that of the control group(P<0.05);the intraoperative and postoperative VAS and BNI scores,occurrence rate of intraoperative discomfort and postoperative complications in the fusion group were lower than those in the control group(P<0.05).Conclusion In respect of improving therapeutic effect and diminishing intraoperative discomfort and postoperative complications,CT/MRI image fusion technique is superior to CT guidance.

关 键 词：CT/MRI图像融合 三叉神经痛 射频热凝术 半月神经节 CT引导 术后并发症 

分 类 号：R459.9[医药卫生—治疗学]