CT-guided percutaneous radiofrequency treatment of trigeminal neuralgia of Nursing_0.docVIP

 PAGE \* MERGEFORMAT 7 CT-guided percutaneous radiofrequency treatment of trigeminal neuralgia of Nursing [Keywords:] three-dimensional CT, radiofrequency surgery, trigeminal neuralgia, nursing Trigeminal neuralgia is a partition in recurrent paroxysmal severe pain, facial pain, mostly to the trigeminal nerve of a unilateral or a few branches to the region, a sudden occurrence of severe facial pain lightning is characterized mainly in the elderly, more men than women [1]. from January 2009 to January 2010, the our department 68 patients diagnosed as trigeminal neuralgia in patients admitted to implement the CT-guided percutaneous radiofrequency thermocoagulation, With careful treatment and care, and achieved a satisfactory therapeutic effect, now nursing are summarized below. 1 Materials and Methods 1.1 General information on this group a total of 68 cases, including 36 males and 32 females, aged 40 to 85 years, mean 63 years. The right side pain in 31 cases, left side pain in 37 cases, bilateral pain in 0 cases. Trigeminal nerve 1 branches to pain in 3 cases, the first two pain in 14 cases, pain in the first three in 16 cases, the first branch at the same time pain in three cases 1,2, 2,3 supporting the same time pain in the first 20 cases, pain in the first branch 12 1,2,3 cases, the course of 5 months to 30 years, an average of 8 years and 6 months. The patients most of the first carbamazepine and other drugs, poor drug efficacy, or drug side effects, patients can not tolerate, before a radiofrequency coagulation. associated with hypertension or coronary heart disease and other cardiovascular diseases in 58 patients. had closed the line treatment, nerve blocks, acupuncture treatment of 26 cases had surgical treatment of microvascular decompression craniotomy in 8 cases ineffective, open cranial recurrence after surgery in 7 cases, 5 cases of postherpetic neuralgia, trigeminal neuralgia after radiotherapy in 2 cases, craniotomy, brain tumor can no