Clinical effect of semilunar ganglion radiofrequency thermocoagulation under CT guidance for treatment of primary trigeminal neuralgia
ZHANG Jian1 SHI Enbiao1 DING Peiyuan1 ZHANG Wenchuan2
1.Department of Neurosurgery, Chongming Branch of Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 202150, China; 2.Department of Neurosurgery, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China
Abstract:Objective To explore the clinical effect of percutaneous punctured hemifacial ganglia radiofrequency thermocoagulation on primary trigeminal neuralgia (PTN) under CT. Methods Eighty-six cases of PTN patients admitted to Chongming Branch of Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, from May 2015 to August 2016 were selected, according to random number table method, they were divided into observation group (43 cases) and control group (43 cases). Patients in the control group were treated with percutaneous balloon compression, patients in the observation group were treated with semilunar ganglion radiofrequency thermocoagulation under CT guidance. The clinical efficacy, pain, sleep quality, quality of life, complications and relapse within 1 year in the two groups were compared. Results The total effective rate in observation group was higher than that in control group, but the difference was not statistically significant (P > 0.05). The VAS and QS scores in two groups decreased after treatment, and these in the observation group were significantly lower than those in the control group, the differences were statistically significant (P < 0.01). The scores of quality of life in two groups increased significantly after treatment, these in the observation group were higher than those in the control group, the differences were statistically significant (P < 0.05). The incidences of side cheek numbness and masticatory muscle descent in the observation group were significantly lower than that in the control group, the differences were statistically significant (P < 0.05); and the incidence of pain and ataxia in adjacent branch areas in the observation group were conpared with the control group, the differences were not statistically significant (P > 0.05). The recurrence rate of observation group was significantly lower than that of control group, the difference was statistically significant (P < 0.05). Conclusion Semilunar ganglion radiofrequency thermocoagulation under CT guidance for the treatment of PTN is remarkable, and it can effectively reduce the patient′s pain, improve sleep quality and quality of life, reduce the complication rate and recurrence rate.