CT引导下经皮穿刺卵圆孔阻滞治疗三叉神经痛  

CT-guided percutaneous blocking of foramen ovale for treatment of trigeminal neuralgia

作　　者：李彩英[1] 倪家骧[1] 许茜[1] 李如迅[1] 彰俊杰[1] 刘明[1] 

机构地区：[1]河北医科大学第四医院放射科,河北石家庄050011

出　　处：《中国医学影像技术》2004年第4期593-594,共2页Chinese Journal of Medical Imaging Technology

基　　金：河北省科技厅资助 (0 1 2 761 1 38D)

摘　　要：目的　探讨CT引导下三叉神经毁损疗法治疗三叉神经痛的方法及临床应用。方法　CT引导机为西门子AR型NOVR型。 3 4例患者均根据典型的病史、体征作出三叉神经痛诊断 ,均有服用药物史 ,5例为经其他方法治疗后复发。3 4例中男 8例 ,女 2 6例 ,年龄 5 5～ 70岁 ,平均 5 8岁。CT引导下经皮穿刺卵圆孔 ,采用 2 2G穿刺针 ,CT引导进针 ,确定针尖在卵圆孔时 ,分次缓慢注射 2 %阿霉素 0 .2～ 0 .3ml(不超过 0 .5ml)。结果　治疗后观察疗效及并发症 ,即刻疼痛减轻2 6例 (76.9%) ,治疗后 6个月 ,3 2例疼痛消失 ,2例疼痛减轻。并发症少而轻微 ,无严重并发症。结论　CT引导下经皮穿刺卵圆孔疗法治疗三叉神经痛是一种微创、疗效好、可重复操作的新技术 ,值得临床推广应用。Objective To evaluate the method and clinical value of CT-guided percutaneous blocking of foramen ovale in patients with trigeminal neruralgia. Methods CT-guided percutaneous puncture (22G needle) of foramen ovale was performed in 34 patients,26 female and 8 male,aged from 55 to 70 years (mean 58 years). 0.2-0.3 ml 2% adriamycin was injected into the semilunar ganglion which verified with contrast agent. Results Puncture of foramen ovale was successfully performed in all 34 patients. Trigeminal neuralgia alleviated immediately in 26 (76.9%) patients. During the follow-up of 6 months,trigeminal neuralgia remained totally released in 32 patients,and alleviated in 2 patients. No serious complications occurred. Conclusion CT-guided percutaneous blocking of foramen ovale is a new,mini-invasive and effective treatment for trigeminal neruralgia.

关 键 词：三叉神经痛 体层摄影术 X线计算机 阻滞 

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]