再次手术与射频治疗对微血管减压术后无效三叉神经痛患者的随访分析

发布时间：2018-04-12 10:38

本文选题：三叉神经痛 + 微血管减压术　；参考：《实用医学杂志》2017年10期

【摘要】：目的:分析短期内再次手术与射频治疗对微血管减压术后无效三叉神经痛患者的疗效差异。方法:护士通过电话随访和复诊随访方式分析2009年1月至2015年12月原发性三叉神经痛经首次三叉神经微血管减压术治疗无效54例患者(30例短期内再次手术,24例射频治疗)的疗效差异,对患者治疗后短期(术后1个月)、长期(术后1年)疼痛缓解程度及面部麻木情况进行统计,并对短期再次手术组与射频治疗组进行疗效及面部麻木的对比。结果:术后1个月,再次手术组与射频治疗组进行对比,治愈率、有效率、面部麻木率差异均有显著性(P=0.02,P=0.04,P=0.01);术后1年,再次手术组与射频治疗组进行对比,治愈率、有效率、面部麻木率、复发率差异均有显著性(P=0.004,P=0.006,P=0.02,P=0.04)。结论:对于首次微血管减压术后无效的三叉神经痛患者,短期内再次手术疗效优于射频治疗,而且面部麻木发生率及复发率明显低于射频治疗。
[Abstract]:Objective: to analyze the difference between short-term reoperation and radio-frequency therapy in patients with ineffective trigeminal neuralgia after microvascular decompression.Methods: by telephone follow-up and follow-up, nurses analyzed the first trigeminal nerve microvascular decompression for primary trigeminal dysmenorrhea from January 2009 to December 2015. There were 54 cases of failure in the treatment of primary trigeminal dysmenorrhea and 24 cases of reoperation within a short period of time.Frequency of treatment).The degree of pain relief and facial numbness in the short-term (1 month after operation) and long-term (1 year after operation) were statistically analyzed. The curative effect and facial numbness were compared between the short-term reoperation group and the radiofrequency therapy group.Results: one month after operation, the cure rate, effective rate and facial numbness rate of the reoperation group and the radio frequency treatment group were significantly different, and the cure rate and the effective rate were compared between the reoperation group and the radiofrequency therapy group one year after operation, the curative rate and the effective rate were higher than those in the second operation group and the radiofrequency therapy group, and there were significant differences in the cure rate, effective rate and facial numbness rate between the reoperation group and the radio frequency treatment group.There were significant differences in the rate of facial numbness and recurrence between the two groups (P = 0.004, P = 0.006, P = 0.02, P = 0.04, P = 0.04).Conclusion: for the patients with trigeminal neuralgia who have no effect after the first microvascular decompression, the curative effect of reoperation in a short time is better than that of radiofrequency therapy, and the incidence and recurrence rate of facial numbness is obviously lower than that of radiofrequency therapy.
【作者单位】：上海交通大学医学院附属新华医院上海交通大学颅神经疾病诊治中心;
【分类号】：R473.6

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