X线引导下经卵圆孔内侧壁进针精准射频消融治疗原发性三叉神经痛

发布时间：2018-04-11 00:38

本文选题：三叉神经痛 + 射频消融　；参考：《介入放射学杂志》2017年12期

【摘要】：目的探讨X线引导下经卵圆孔内侧壁进针不同深度射频消融(RFA)治疗原发性三叉神经痛的临床应用价值。方法选择原发性三叉神经痛患者32例,采用X线引导下经卵圆孔内侧壁进针不同深度RFA治疗原发性三叉神经痛的临床资料,观察术中责任神经精确复制率,术前、术后1 d、术后1周和3个月及1年的治愈率。结果术中第1支精确复制率85.7%(6/7),第2支精确复制率96.4%,第3支精确复制率100%。术后第1天治愈率为87.5%,术后1周治愈率为93.8%,术后3个月治愈率为93.8%,术后1年治愈率为87.5%。结论 X线引导下卵圆孔内侧壁进针,能准确复制责任神经支配区疼痛症状,精准治疗三叉神经痛,具有微创、安全、疗效确切等优点,值得推广。
[Abstract]:Objective to evaluate the clinical value of radiofrequency ablation (RFAA) in the treatment of primary trigeminal neuralgia with radiofrequency ablation through the medial wall of foramen ovale under X-ray guidance.Methods the clinical data of 32 patients with primary trigeminal neuralgia treated with RFA with different depth into the medial wall of foramen ovale were selected. The exact replication rate of responsible nerve was observed before operation.The cure rate was 1 day, 1 week and 3 months and 1 year after operation.Results the accuracy rate of the first branch was 85.7%, the second branch was 96.4%, the third branch was 100%.The cure rate was 87.5 on the first day after operation, 93.8on the first week after operation, 93.8on the third month after operation, and 87.5 at one year after operation.Conclusion X ray guided needle injection into the medial wall of foramen ovale can accurately replicate the symptoms of pain in the responsible innervation area and accurately treat trigeminal neuralgia. It has the advantages of minimally invasive, safe and effective, and is worth popularizing.
【作者单位】：安徽中医药大学第一附属医院介入中心;
【分类号】：R745.11;R816.1

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