|
|
|
| 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.
|
|
|
|
|
|
[1] 罗芳，申颖，孟岚，等.CT引导下半月神经节脉冲射频治疗重度原发三叉神经痛[J].中国疼痛医学杂志，2014，20（5）：314-317.
[2] Asplund P，Blomstedt P，Bergenheim AT. Percutaneous balloon compression vs percutaneous retrogasserian glycerol rhizotomy for the primary treatment of trigeminal neuralgia [J]. Neurosurgery，2015，78（3）：421-428.
[3] 刘京杰，李玄英，杨立强，等.半月神经节射频热凝术中针尖裸露长度和射频温度对三叉神经痛疗效及并发症的影响[J].中国康复医学杂志， 2014，29（3）：242-247.
[4] 李君，冯艺，韩济生，等.中文版简版McGill疼痛问卷-2的制定与多中心验证[J].中国疼痛医学杂志， 2013，19（1）：42-46.
[5] 严广斌.视觉模拟评分法[J].中华关节外科杂志：电子版，2014，9（2）：273.
[6] McHorney CA，Ware JE J，Lu JF，et al. The MOS 36-item Short-Form Health Survey（SF-36）：Ⅲ. Tests of data quality，scaling assumptions，and reliability across diverse patient groups [J] Med Care，1994，32（1）：40-66.
[7] 李涛，程亚鹏，刘跃亭.显微血管减压术治疗三叉神经痛及面肌痉挛的临床体会[J].中西医结合心脑血管病杂志，2016，14（18）：2205-2207.
[8] 王长明，关占颖，蔡长华，等.经皮微球囊压迫三叉神经半月节治疗三叉神经痛的研究进展[J].中国疼痛医学杂志，2015，21（4）：297-300.
[9] Inoue T，Hirai H，Shima A，et al. Long-term outcomes of microvascular decompression and Gamma Knife surgery for trigeminal neuralgia：a retrospective comparison study [J]. Acta Neurochirurgica，2017，159（11）：2127-2135.
[10] 马思清.CT引导半月神经节射频温控热凝术治疗原发性三叉神经痛的临床研究[J].中国疼痛医学杂志，2014， 20（3）：187-188.
[11] 邵志辉，李维方，王益钢，等.CT三维成像联合体感诱发电位定量温控射频热凝治疗三叉神经痛[J].浙江医学，2015，37（8）：691-693.
[12] 陆丽娟，韩影，槐洪波，等.3D打印经皮穿刺导航系统在半月神经节射频热凝术中的应用[J].中国疼痛医学杂志，2015，21（12）：914-918.
[13] 杨惠婕，唐元章，倪家骧.CT引导下经皮三叉神经半月节射频热凝术治疗其他术式术后复发三叉神经痛的疗效及安全性分析[J].中国全科医学，2016，19（12）：1383-1386.
[14] 李向男，张云鹤，薛承景，等.CT三维成像引导下半月神经节射频热凝治疗三叉神经痛[J].中国综合临床，2014， 30（10）：1076-1077.
[15] 肖旭洋，董铁立，王春亭，等.CT三维定位下选择性射频热凝治疗原发性三叉神经痛[J].中国疼痛医学杂志，2014，20（7）：524-525.
[16] 郑淑月，王晓宇，赵颖，等.CT引导下经皮三叉神经射频热凝术治疗原发性三叉神经痛对咀嚼肌功能的影响[J].中国康复医学杂志，2015，30（1）：44-46.
[17] 曹莹，李宁怡，任益民.半月神经节射频热凝对复发型三叉神经痛的疗效[J].贵阳医学院学报，2015，40（10）：1087-1089.
[18] 赵鹏，徐青，李建设，等.三维CT精准定位靶点侧入路射频热凝消融术治疗三叉神经痛160例体会[J].立体定向和功能性神经外科杂志，2015，28（04）：246-247.
[19] 张前西.C臂引导下结合电刺激定位应用于三叉神经半月节射频热凝治疗原发性上颌神经痛的效果[J].中国医药导报，2017，14（22）：80-83.
[20] 赵林，万成福，宋涛，等.CT引导联合神经电生理测试射频热凝治疗原发性三叉神经痛156例疗效分析[J].中国实用口腔科杂志，2015，8（4）：222-225.
[21] 王涛，钟建卫，孙永峰，等.CT引导下三叉神经半月节射频热凝术治疗原发性三叉神经痛30例[J].武警医学，2016，27（9）：949-950. |
|
|
|
