CT定位翼腭窝穿刺治疗上颌神经痛疗效观察.pdfVIP

1 CT 定位翼腭窝穿刺治疗上颌神经痛疗效观察 史有才 王颜梅 刘涛 修彬华 刘绍明 【摘要】 目的 探讨翼腭窝穿刺CT定位治疗上颌神经后上齿槽分支神经痛的可行性及临 床疗效。方法 选择病例均为上颌神经后上齿槽神经分支痛患者，采用颧弓下侧入路穿刺， o CT平行于颅底的轴位薄层扫描，骨窗位确定穿刺针位于翼腭窝内，射频热凝治疗温度85c， 治疗时间 60秒，重复治疗一次,达到麻木覆盖上齿槽神经分布区为佳。结果 本组共治疗 18例，术后随访6个月~22个月，平均 10.5个月。本组术后 17例有效。获得优良者 15 例 （83.3% ），良好2 例(11.1%) 。术中术后无明显并发症。 结论 CT引导定位翼腭窝穿刺定 位准确，操作安全可靠，穿刺成功率高，术后口面部感觉减退范围明显缩小，治疗效果明显。 是一种微创治疗方法，具有较高临床实用价值。 【关键词】 上颌神经痛 后上齿槽神经 翼腭窝 射频热凝术 CT定位 【中图分类号】 R754.1 【文献标识码】 A 【文章编号】 Efficaay of CT-guide approach throught the pterygopalatine fossa for t reatment of maxillary neuralgia.( repport of 18cases) SHI you-cai. Wang yan-mei. Liu tao. Xiu binhua. Liu shao-ming. Department of Neurosurgery, Wulumuqi General Hospital, Lanzhou Command Area, Wulumuqi 830000, China Corresponding author: SHI you-cai Email:xjshiyiou@163.com 【Abstract 】 Objective To survey the therapentic effect and accurative of radiofrequency thermocoagulation under CT-guide approach throught the pteroygopalatine fossa for treatment of maxillary neuralgia. Methods 18 cases of maxillary neuralgia were unedrment ct-guide with radiofrequency thermocoagulation. CT scans obtained with axial slies parallel to the middle cranial fossa base, define the relation between puncture needle and pteroygopalatine fossa. Results Follow -up ranged from 6 to 22 months (mean, 10 months) observation showed that the excellence were 15 cases(83.3%),good were 2 cases( 11.1%).There were no mortalities, no significant morbidity and a low rate of minor complication. Conclusion CT-guide has the better successful rate of puncture pterygopalatine fossa, operate was handle easily and safely, positoning was accurately. It was minimally invasive procedure for such patients. It has the better value of clinical application. 【Key wor