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| Clinical observation on the treatment of idiopathic trigeminal neuralgia by tempetature controlled radiofreguency ablation under CT guidance |
| HE Haili1 YANG Liqiang2▲ SONG Shengwen3 GUO Yu′na2 WANG Qi2 HE Liangliang2 YUE Jianning2 WANG Xiaoping2 CAO Guoqing2 |
1.Department of Anesthesiology, Beijing You′an Hospital, Capital Medical University, Beijing 100069, China;
2.Center of Pain, Xuanwu Hospital, Capital Medical University, Beijing 100053, China;
3.Department of Anesthesiology, the First Affiliated Hospital, School of Medicine, Zhejiang University, Zhejiang Province, Hangzhou 310003, China |
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Abstract Objective To study the clinical efficacy and complications of tempetature controlled radiofreguency ablation on treatment of idiopathic trigeminal neuralgia by CT guidance. Methods Forty-eight patients of idiopathic trigeminal neuralgia treated in Department of Pain, Xuanwu Hospital, Capital Medical University from September 2017 to April 2018 were enrolled into this study. The VAS, numbness score, complications and patients′ satisfaction before operation, and after operation for immediately (T1), 1 week (T2), 1 month (T3), 3 months (T4) were evaluated. Results Compared with the VAS of preoperative pain, postoperative pain at T1, T2, T3 and T4, was significantly relieved in all patients, with statistically significant differences (P < 0.05). All the 48 patients at T1, T2, T3 and T4 showed different degrees of facial numbness, which was mild and moderate, and did not affect daily life; major complications included 27 cases (56.25%) of decreased masticatory muscle strength, 1 case (2.08%) of corneal hypoesthesia, 3 cases (6.25%) of tinnitus, 1 case (2.08%) of runny nose. There were no serious complications such as visual impairment, intracranial infection, low cranial pressure headache and syncope. Conclusion CT guided tempetature controlled radiofreguency ablation is a safe and effective treatment for idiopathic trigeminal neuralgia.
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