DSA引导经皮穿刺卵圆孔定位技术的探讨.pdfVIP

影像诊断与介入放射学 年第 卷第 期 · · 2008 17 5 200 DSA 引导经皮穿刺卵圆孔定位技术的探讨 赵晓君 何家维 白光辉 史建静 许崇永 占恭豪 【摘要】 目的 探讨数字化血管造影机（DSA）引导下经皮穿刺卵圆孔定位技术。方法 搜集2004 年2 月到2006 年10 月 间三叉神经痛患者39 例，采用改良体位行前入路穿刺手术。球管向足侧倾斜20°～28°，向健侧倾斜16°～23°，透视下调整球管 位置，显示卵圆孔，并结合侧位确定进针路线及深度，然后进行温控热凝术治疗。结果 39 例患者均成功显示卵圆孔，并进行手术。 术后随访36 例症状完全消失，3 例疼痛缓解，没有明显并发症。结论 DSA 机引导下，采用改良体位行三叉神经毁损术，可以清晰 显示卵圆孔位置，且患者体位舒适，有利于进一步提高手术成功率。 【关键词】 三叉神经痛；卵圆孔；穿刺；射频热凝术 Study of DSA-guided percutaneous puncture location of foramen oval ZHAO Xiao-jun, HE Jia-wei, BAI Guang-hui, SHI Jian- jing, XU Chong-yong , ZHAN Gong-hao. Department of Radiology, the Second Affiliated Hospital of Wenzhou Medical College, Wenzhou 325027, China 【 】 Abstract Objective To study the technique of digital substraction angiography (DSA)-guided percutaneous puncture location of foramen oval. Methods 39 cases of trigeminal neuralgia were included in the study from Feb. 2004 to Oct. 2006. The patients were punc－ tured by the amending anterior position. The foramen oval was displayed by moving the tube tilted 20 ～28 degree to the caudal and 16～23 degree to the healthy side. The direction and depth of the needles was determined on the lateral view. Then, radio-frequency thermocoagu－ lation therapy was performed. Results The needles were located in oval foramen in all the patients. Pain disappeared in 36 cases, alleviat－ ed in other cases, and no serious complication occurred during therapy. Conclusions Oval foramen locations by DSA can improve the successful rate of operation. The foramen oval can be clearly displayed by DSA-guided in amending position, with comfortable position for patients. 【 】 ； Key words