CT引导下半月节热凝射频术延长时间对老年复发三叉神经痛疗效及安全性影响.doc

CT引导下半月节热凝射频术延长时间对老年复发三叉神经痛疗效及安全性影响满意度为85.1%，明显高于对照组的75.6%，差异有统计学意义（P 0.05）。两组患者均未见任何严重的不可逆性并发症发生。 结论 增加CT引导下半月节射频时间能提高老年复发三叉神经痛患者的短期及长期疗效，短期内面部麻木程度稍有加重，但仍是安全的 [关键词] 热凝射频术；三叉神经痛；复发；CT [中图分类号] R745.1 [文献标识码] A [文章编号] 1673-7210（2017）01（b）-0085-04 Influence of time extension of percutaneous radiofrequency thermocoagulation for gasserian ganglion under the guidance of CT for the efficacy and safety of elderly patients with recurrent trigeminal neuralgia YANG Liqiang1* LI Bo2* ZHAO Dan3 NI Jiaxiang1▲ HE Liangliang1 GUO Yu’na1 CAO Guoqing1 1.Department of Pain， Xuanwu Hospital， Capital Medical University， Beijing 100053， China； 2.Department of Neurology， Beijing Hepingli Hospital， Beijing 100013， China； 3.Department of Surgery， Beijing Northern Hospital， China North Industries Group Corporation， Beijing 100089， China [Abstract] Objective To observe the influence of radiofrequency time extension of percutaneous radiofrequency thermocoagulation for gasserian ganglion under the guidance of CT for the efficacy and safety of elderly patients with recurrent trigeminal neuralgia. Methods Seventy cases of elderly patients with recurrent trigeminal neuralgia treated in Department of Pain， Xuanwu Hospital， Capital Medical University from October 2008 to May 2015 were enrolled into this study， they were divided into two groups by random number table method. The experimental group （36 cases） was given 75℃ radiofrequency thermocoagulation for 180 s， the control group （34 cases） was given 75℃ radiofrequency thermocoagulation for 120 s. The classification of Barrow neurological institute （BNI）， satisfaction degree of pain remission and the occurrence of facial reactions after operation for 24 h， 7 d， 3 months， 1 year were evaluated. Results After operation for 1 year， the satisfaction degree of pain remission in the experimental group was 85.1%， which was higher than that of control group （75.6%）， the difference was statistically significant （P 0.05）. Both groups had