CT引导下经卵圆孔射频热凝术治疗三叉神经上颌支痛的效果及并发症  

Effect and complications of CT-guided radiofrequency thermocoagulation through foramen ovale approach in the treatment of maxillary neuralgia of cranial nerve V

作　　者：崔晓[1] 徐守俭 王树燕 CUI Xiao;XU Shoujian;WANG Shuyan(Department of Pain;Department of Oncology Radiotherapy,Binzhou Medical University Hospital,Binzhou,Shandong Province 256603,China)

机构地区：[1]滨州医学院附属医院疼痛科,山东滨州256603 [2]滨州医学院附属医院肿瘤放疗科,山东滨州256603

出　　处：《实用放射学杂志》2024年第8期1345-1348,共4页Journal of Practical Radiology

摘　　要：目的探讨CT引导下经卵圆孔射频热凝术(RFTC)治疗三叉神经(又称第5颅神经)(CNV)上颌支痛的效果及并发症。方法回顾性选取CNV上颌支痛的患者100例,根据不同治疗方法分为A组(48例,接受CT引导下经卵圆孔入路RFTC治疗)和B组(52例,接受经翼腭窝上颌神经RFTC治疗)。观察CT引导下经卵圆孔行RFTC的相关影像学表现。对比2组住院时间、手术时间;比较2组术前和术后疼痛视觉模拟量表(VAS)评分;对比2组手术前后患者满意度评分(PSS);比较2组RFTC治疗期间并发症发生情况。结果2组的住院、手术时间比较差异无统计学意义(P>0.05);术后1 d、1个月,A组VAS评分低于B组(P<0.05)。术后1个月,A组PSS高于B组(P<0.05)。RFTC治疗期间,2组并发症总发生率比较差异无统计学意义(P>0.05)。结论CT引导下经卵圆孔入路RFTC治疗CNV上颌支痛的手术时间、住院时间、并发症发生率与经翼腭窝上颌神经RFTC相比效果相当;对比经翼腭窝上颌神经RFTC,CT引导下经卵圆孔入路RFTC能减轻CNV上颌支疼痛,提高患者满意度。Objective To explore the effect and complications of CT-guided radiofrequency thermocoagulation(RFTC)through foramen ovale approach in the treatment of maxillary neuralgia of cranial nerve V(CNV).Methods A total of 100 patients with maxillary neuralgia of CNV were retrospectively selected.According to different treatment method,they were divided into A group(48 cases,CT-guided RFTC through foramen ovale approach)and B group(52 cases,RFTC through maxillary nerve of pterygopalatine fossa approach).The imaging findings of CT-guided RFTC through foramen ovale approach were observed.The hospitalization time and operation time,visual analogue scale(VAS)scores and patients satisfaction score(PSS)before and after surgery,as well as occurrence of complications during RFTC were compared between the two groups.Results There were no significant differences in hospitalization and operation time between the two groups(P>0.05).At 1 d and 1 month after surgery,VAS scores in A group were lower than those in B group(P<0.05).At 1 month after surgery,PSS in A group was higher than that in B group(P<0.05).During RFTC,there was no significant difference in incidence of complications between the two groups(P>0.05).Conclusion CT-guided RFTC through foramen ovale approach is comparable to RFTC through maxillary nerve of pterygopalatine fossa approach in terms of operation time,hospitalization time and incidence of complications in patients with maxillary neuralgia of CNV.The former can alleviate maxillary neuralgia of CNV and improve patients satisfaction.

关 键 词：三叉神经痛 卵圆孔 翼腭窝 射频热凝术 疗效 并发症 

分 类 号：R745.11[医药卫生—神经病学与精神病学] R815[医药卫生—临床医学]