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

Abstract
Figure/Table
References (21)
Related Citation (12)

Download: PDF (547 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the effect of application of C-arm guidance combined with electrical stimulation in trigeminal neuronal radiofrequency coagulation therapy for primary maxillary neuralgia. Methods 50 cases of patients with primary trigeminal maxillary neuralgia of the Ⅱ branch treated in the Affiliated Huai′an Hospital of Xuzhou Medical University from January 2012 to December 2015 were selected, and randomly divided into the observation group and the control group, each group had 25 cases. All patients were treated by C-arm guided modified Hartel approach through foramen ovale into the trigeminal ganglion. The control group was treated with radiofrequency coagulation guided by C-arm, the observation group was combined with electrical stimulation directing. The visual analogue scale (VAS), excellent rate, recurrence rate and complications of the two groups were follow-up in preoperative and postoperative instantly, 1 month, 3 months, 6 months and 12 months after operation. Results Both the control group and the observation group were followed up completely. The VAS scores of postoperative instantly, 1 month, 3 months, 6 months and 12 months after operation in the observation group were obviously lower than those of the control group, and the differences were statistically significant (P < 0.05). The excellent rates of the observation group were higher and the recurrence rates were lower than those of the control groups, with statistically significant differences (P < 0.05). The incidence of numbness in mandibular nerve zone of Ⅲ branch was lower in the observation group than that in the control group, with statistically significant difference (P < 0.05). There was no significant difference in complications between the two groups (P > 0. 05). Conclusion Compared with C-arm guidance, combined with electrical stimulation has higher location accuracy, better clinical effects and lower recurrence rate.

Key words： Electrical stimulation Positioning Radiofrequency thermocoagulation Trigeminal neuralgia Trigeminal gasserian ganglion

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	ZHANG Qianxi1
	2 SHEN Wen1▲

Cite this article:

ZHANG Qianxi1,2 SHEN Wen1▲. Effect of application of C-arm guidance combined with electrical stimulation in trigeminal neuronal radiofrequency coagulation therapy for primary maxillary neuralgia[J]. 中国医药导报, 2017, 14(22): 80-83.

URL:

http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2017/V14/I22/80

[1] 韩济生，樊碧发.疼痛学[M].北京：北京大学医学出版社，2012.
[2] Love S，Coakham HB. Trigeminal neuralgia [J]. Encyclopedia of Neuroscience，2009，124（12）：1173-1177.
[3] 万海方，柳子明，郑汉光.DSA引导下经皮卵圆孔穿刺行射频温控热凝术治疗复杂性三叉神经痛的效果[J].中华麻醉学杂志，2008，28（10）：950-951.
[4] 卢振和，高崇荣，宋文阁.射频镇痛治疗学[M].郑州：河南科学技术出版社，2008.
[5] Heft MW，Parker SR. An experimental basis for revising the graphic rating scale for pain [J]. Pain，1984，19（2）：153-161.
[6] 万海方，柳子明，郑汉光.DSA引导下经皮卵圆孔穿刺行射频温控热凝术治疗复发性三叉神经痛的效果[J].中华麻醉学杂志，2008，28（10）：950-951.
[7] 时成英，郝凤娟，张云霞.C型臂下射频热凝半月神经节治疗三叉神经痛的中远期疗效评估[J].医学影像学杂志，2010，20（9）：1355-1357.
[8] Wan Q，Zhang DX. Cao，XT，et al. CT-guided selective percutaneous radiofrequency thermocoagulation via the foramen rotundum for isolated Maxillary Nerve Idiopathic Trigeminal Neuralgia[J]. J Neurosurg，2017：1-4. DOI：10.3171/2016.9.JNS152520
[9] 肖兴花，李丽，庞守良.CT引导下立体定向射频热凝三叉神经半月节治疗原发性三叉神经痛的疗效观察[J].中国全科医学，2012，15（27）：3127-3130.
[10] Tang YZ，Ma L，Li N，et al. Percutaneous trigeminal ganglion radiofrequency thermocoagulation alleviates anxiety and depression disorders in patients with classic trigeminal neuralgia：A cohort study [J]. Medicine（Baltimore），2016， 95（49）：e5379.
[11] 杨英俊，陈志礼.半月神经节射频热凝治疗第Ⅱ支受累的三叉神经痛（附21例报告）[J].中国医师杂志，2008， 10（8）：1105-1106.
[12] Yao P，Deng YY，Hong T，et al. Radiofrequency thermocoagulation for V2/V3 idiopathic trigeminal neuralgia： effect of treatment temperatures on long-term clinical outcomes：A Cohort Study [J]. Medicine（Baltimore），2016， 95（26）：e4019.
[13] Lopez BC，Hamlyn PJ，Zakrzewska JM. Systematic review of ablative neurosurgical techniques for the treatment of trigeminal neuralgia [J]. Neurosurgery，2004，54（4）：973-982.
[14] Thapa D，Ahuja V，Dass C，et al. Management of refractory trigeminal neuralgia using extended duration pulsed radiofrequency application [J]. Pain Physician，2015，18（3）：E433-E435.
[15] 邓毅勇，许云龙，刘冰.CT定位射频热凝术治疗三叉神经痛460例疗效分析[J].中国疼痛医学杂志，2010，16（1）：57-58.
[16] Luo F，Meng L，Wang T，et al. Pulsed radiofrequency treatment for idiopathic trigeminal neuralgia：a retrospective analysis of the causes for ineffective pain relief [J]. Eur J Pain，2013，17（8）：1189-1192.
[17] Ali EA，Reyad RM，Saleh EG，et al. The efficacy and safety of combined pulsed and conventional radiofrequency treatment of refractory cases of idiopathic trigeminal neuralgia：a retrospective study [J]. J Anesth，2015，29（5）：728-733.
[18] Chuan NH，Halim W，Beems T，et al. Pulsed radiofrequency treatment for trigeminal neuralgia [J]. Anesth Pain Med，2012，1（4）：257-261.
[19] Liao C，Visocchi M，YangM，et al. Pulsed Radiofrequency：A Management Option for Recurrent Trigeminal Neuralgia Following Radiofrequency Thermocoagulation [J]. World Neurosurg，2017，97：760-765.
[20] Tang YZ，Yang LQ，Yue JN，et al. The optimal radiofrequency temperature in radiofrequency thermocoagulation for idiopathic trigeminal neuralgia：A cohort study [J]. Medicine（Baltimore），2016，95（28）：e4103.
[21] 彭胜.智能机器人三叉神经3D导航下经圆孔治疗三叉神经痛第Ⅱ支临床研究[J].中国医药科学，2016，6（6）：121-124.