|
|
|
| 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.
|
|
|
|
|
|
[1] Buture A，Gooriah R，Nimeri R，et al. Current Understanding on Pain Mechanism in Migraine and Cluster Headache [J]. Anesth Pain Med，2016，6（3）：e35190.
[2] Sluder G. The role of the sphenopalatine ganglion（or meckel′s）ganglion in nasal headaches [J]. New York Med J，1908.
[3] 姚蓉，倪家骧.难治性蝶腭神经痛诊断与治疗研究进展[J].疑难病杂志，2004，3（5）：309-311.
[4] Ahamed SH，Jones NS. What is Sluder′s neuralgia? [J]. J Laryngol Otol，2003，117（6）：437-443.
[5] 李娜，郭玉娜，秦红军，等.CT引导下蝶腭神经节射频热凝术治疗蝶腭神经痛的长期疗效及安全性分析[J].中国全科医学，2016，19（12）：1375-1378.
[6] Olesen J. International Classification of Headache Disorders [J]. Lancet Neurol，2018，17（5）：396-397.
[7] Horgas AL. Pain Assessment in Older Adults [J]. Nurs Clin North Am，2017，52（3）：375-385.
[8] Youssef A，Carrau RL，Tantawy A，et al. Endoscopic versus Open Approach to the Infratemporal Fossa：A Cadaver Study [J]. J Neurol Surg B Skull Base，2015，76（5）：358-364.
[9] 黎伦晞.原发性阵发性偏侧头痛临床特征分析及国际诊断标准测试[D].重庆：重庆医科大学，2016.
[10] Cheng Y，Xu H，Chen Y，et al. Location of Pterygopalatine Fossa and its Relationships to the Structures in Sellar Region [J]. J Craniofac Surg，2015，26（6）：1979-1982.
[11] 申颖，孟岚，王涛，等.CT引导下蝶腭神经节脉冲射频治疗难治性丛集性头痛的疗效观察[J].中国疼痛医学杂志，2016，22（8）：598-602.
[12] 谢静，韦道祥，石士奎，等.β-七叶皂苷钠治疗丛集性头痛急性发作22例疗效观察[J].蚌埠医学院学报，2012， 37（10）：1169-1170.
[13] 王薇，刘筱莹，王圣军，等.CT引导下蝶腭神经节脉冲射频联合β-七叶皂苷钠治疗对急性丛集性头痛疗效分析[J].中国医学装备，2017，14（5）：72-75.
[14] 胡玉婷，韩卉.翼腭窝的解剖学研究及临床意义[J].中国临床解剖学杂志，2004，22（1）：104-105，108.
[15] 李培，李晓鹏，韩晓红，等.翼腭窝及其通道的CT影像与断层标本对照研究及临床意义[J].中华解剖与临床杂志，2014，19（1）：29-32.
[16] 焦燕，姜晓钟，纪荣明.翼腭窝内神经血管的定位研究及其临床意义[J].中国临床解剖学杂志，2005，23（6）：586-589.
[17] Yoon KB，Wiles JR，Miles JB，et al. Long-term outcome of percutaneous thermocoagulation for trigeminal neuralgia [J]. Anaesthesia，1999，54（8）：803-808.
[18] Sanders M，Zuurmond WW. Efficacy of sphenopalatine ganglion blockade in 66 patients suffering from cluster headache：a 12- to 70-month follow-up evaluation [J]. J Neurosurg，1997，87（6）：876-880.
[19] 诸葛盼，尤慧华，王翰青，等.等离子低温消融术在常年性变应性鼻炎治疗中的应用[J].中国中西医结合耳鼻咽喉科杂志，2007，15（3）：183-185.
[20] 李云秋，肖旭平，冯晓辉.低温等离子消融术治疗慢性肥厚性鼻炎临床疗效观察[J].医学临床研究，2012，29（8）：1552-1554. |
|
|
|
