Phased closure of the Joint Clinical observation of treatment of trigeminal neuralgia.doc

 PAGE \* MERGEFORMAT 8 Phased closure of the Joint Clinical observation of treatment of trigeminal neuralgia [Keywords:] trigeminal neuralgia; vitamin B12 injection; triamcinolone acetonide; streptomycin sulfate Trigeminal neuralgia (trigeminal neuralgia, TN) are the treatment of oral medication, RFT surgery and surgical treatment (1), but the side effects, complications and more difficult to promote. Pathogenesis because TN is not very clear that there have not been an ideal treatment method can effectively cure. our department since 2005 has been applied to the TN of vitamin B12 injection, triamcinolone acetonide, boiling acid, streptomycin, joint sub-carbonated lidocaine stage treatment of partial closure of observation. 1 Materials and Methods 1.1 General Information TN 136 patients, consistent with the clinical diagnosis of TN: (1) paroxysmal trigeminal pain distribution, duration of not more than 2 min; (2) a clear “trigger point”, interval of symptoms; ( 3) The good effect of oral carbamazepine; (4) to exclude intracranial lesions due to non-specific facial pain, not associated with neurological abnormalities or sensory deficits. male 58, female 78 cases, age: 35 years 1 case, 40 to 49 years in 15 cases, 42 cases of 50 to 59 years, 64 patients aged 60 to 69, 70 to 79 years in 12 cases, 2 cases over 80 years, the average age of 62.5 years. parts and branches: the left side in 72 cases the right side of 64 cases; simple branch occurred in 2 cases of , branch 68 cases, branch 46, while in section , branch in 18 cases, section , branches in 2 cases. duration: 6 months to 10 years, an average of 1.5 years. which, 85 cases had oral administration of carbamazepine treatment, 12 cases of percutaneous ethanol injection, radiofrequency therapy of 8 patients, 3 half ganglion microvascular dissection, 20 cases of tooth extraction. the above double-blind randomized patients were divided into A, B group, 68 patients in each group, A group (control grou