脉冲射频联合臭氧治疗带状疱疹后三叉神经痛19例疗效观察

发布时间：2018-06-10 17:45

本文选题：脉冲射频 + 臭氧　；参考：《中国皮肤性病学杂志》2017年07期

【摘要】：目的探讨脉冲射频联合臭氧半月节注射治疗带状疱疹后三叉神经痛的临床疗效。方法将确诊为带状疱疹后三叉神经痛的19名患者在CT引导下经卵圆孔三叉神经半月神经节脉冲射频术联合局部注射臭氧,观察患者术后疼痛缓解程度,以视觉模拟评分(visual analogue score,VAS)及患者满意度评定疗效,观察不良反应。结果 19例患者均完成术后3个月随访,17例完成术后6个月随访,11例完成术后12个月随访,7例完成术后24个月随访。患者术后3d时VAS为1.58±1.465,术后15d时VAS为1.00±0.745,术后1个月时VAS为0.84±0.898,术后3个月时VAS为0.84±1.463,术后6个月时VAS为0.53±0.874,术后12个月时VAS为0.27±0.467,术后24个月时VAS为0.43±0.535,治疗后各时间段VAS分值明显低于术前(7.05±1.433),差异均有统计学意义(P0.01),而且未出现严重不良反应。结论脉冲射频联合臭氧半月节注射的综合治疗能快速缓解带状疱疹后三叉神经痛患者的疼痛,疗效显著,不良反应发生率低。
[Abstract]:Objective to investigate the clinical effect of pulse radio frequency combined with ozone semilunar injection in the treatment of postherpetic trigeminal neuralgia. Methods 19 patients with postherpetic trigeminal neuralgia were treated by CT guided transposition of trigeminal ganglion pulse radiofrequency (RFA) combined with local ozone injection to observe the degree of pain relief after operation. Visual analogue score (VAS) and patient satisfaction were used to evaluate the efficacy and adverse reactions. Results all the 19 cases were followed up for 3 months, 17 cases were followed up for 6 months, 11 cases were followed up for 12 months and 7 cases were followed up for 24 months. VAS was 1.58 卤1.465 at 3 days, 1.00 卤0.745 on 15 days, 0.84 卤0.898 at 1 month, 0.84 卤1.463 at 3 months, 0.53 卤0.874 at 6 months, 0.27 卤0.467at 12 months and 0.43 卤0.535 at 24 months after operation. The value was significantly lower than that before operation (7.05 卤1.433), the difference was statistically significant (P 0.01), and there was no serious adverse reaction. Conclusion Pulsed radio frequency combined with ozone semilunar injection can relieve the pain of trigeminal neuralgia after herpes zoster. The curative effect is significant and the incidence of adverse reactions is low.
【作者单位】：吉林大学白求恩第一医院疼痛科;
【分类号】：R752.12

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