螺旋CT 引导半月节脉冲射频治疗三叉神经痛的远期疗效观察①.pdfVIP

中国康复理论与实践2011年11月第17卷第11期ChinJRehabilTheoryPract,Nov.2011,Vol.17,No.11 - 1013 - ·专题· 螺旋CT 引导半月节脉冲射频治疗三叉神经痛的远期疗效观察① 1 1 2 孟岚 ，程灏 ，王保国 [摘要] 目的 观察螺旋CT 引导下半月节穿刺脉冲射频治疗三叉神经痛的远期疗效。方法 100例原发性三叉神经痛患者分 为研究组(脉冲射频组，n=44)和对照组(射频热凝组，n=56) 。比较治疗前，治疗后0.5 年、1年、2 年时的疼痛数字模拟评分(NRS) 及临床疗效。结果 治疗后1年内两组NRS 无显著性差异，但2 年后研究组复发率明显高于对照组(P0.01) 。结论 半月节脉冲射 频治疗三叉神经痛安全有效，但远期疗效欠佳。 [关键词] 三叉神经痛；半月节；脉冲射频；射频热凝术 Prospective Efficacy of Pulsed Radiofrequency Guided with Spiral CT on Trigeminal Neuralgia: Long-term Observation MENG Lan, CHENG Hao, WANG Bao-guo. Department of Anaesthesiology, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China Abstract: Objective To investigate the prostecdtive therapeutic efficacy of pulsed radiofrenquency and radiofrequency thermocoagula- tion of the Gasserian ganglion guided with spiral CT on trigeminal neuralgia. Methods 100 patients with idiopathic trigeminal neuralgia were treated with pulsed radiofrenquency or radiofrequency thermocoagulation of gasserian ganglion. The numeric rating scales (NRS) of pain were recorded before and 0.5 year, 1 year, and 2 years after treatment. Results There was no difference in NRS within 1 year, but the re- currence rate was high in the paitents accepted pulsed radiofrenquency 2 years later (P0.01). Conclusion Pulsed radiofrenquency of the gasserian ganglion is safe and effective on trigeminal neuralgia, but poor in long-term outcome. Key words: trigeminal neuralgia; gasserian ganglion; pulsed radiofrenquency; radiofrequency thermocoagulation [中图分类号] R745.1 [文献标识码] A [文章编号] 1006-9771(2011) 11- 1013-03 [本文著录格式] 孟岚，程灏，王保国.螺旋CT 引导半月节脉冲射频治疗三叉神经痛