Clinical study of CT-guided sphenopalatine ganglion low temperature plasma radiofrequency ablation for sphenopalatine neuralgia
GUO Yu′na1 DOU Zhi1 YANG Guanghui2 LIU Jingjie1 WANG Qi1 TANG Yuanzhang1 YANG Liqiang1▲
1.Department of Pain Management, Xuanwu Hospital, Capital Medical University, Beijing 100053, China;
2.Outpatient Service, Chinese People′s Liberation Army 66011, Beijing 102600, China
Abstract：To investigate the efficacy and safety of CT-guided sphenopalatine ganglion plasma radiofrequency ablation for the treatment of sphenopalatine neuralgia (SPN). Methods From January 2015 to August 2016, 61 patients with SPN treated with CT-guided sphenopalatine ganglion low temperature plasma radiofrequency ablation in the Department of Pain Management of Xuanwu Hospital, Capital Medical University were selected, the VAS scores of patients were compared at before and 1 d, 3 d, 1 week, 1 month, 3 months, 6 months, 1 year and 2 years after the surgery. The MacNab scores were observed at 1 week and 1 year after the surgery. The postoperative facial numbness and complications of patients were also recorded. Results The VAS scores of patients at each time point after surgery were significantly lower than those before surgery (P < 0.05). There was no significant difference in MacNab scores 1 week and 1 year after surgery (P > 0.05), and the excellent and good rates 1 week and 1 year after surgery were 91.8% and 83.6% respectively. The incidence of mild postoperative facial numbness was 31.1% at 1 week after the surgery, there was no postoperative facial numbness patients 1 year after the surgery. All patients had no serious surgical complication. Conclusion Patients with SPN can obtain satisfactory clinical results and mild adverse reactions after the sphenopalatine ganglion plasma radiofrequency ablation, it is worthy of clinical promotion.
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2019, Vol. 16 
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