射频热凝术治疗难治性眶上神经痛的效果

发布时间：2018-12-10 13:11

【摘要】：目的观察射频热凝术治疗难治性眶上神经痛的效果。方法 2007年2月至2014年9月,对36例药物及神经阻滞治疗无效的难治性眶上神经痛患者行射频热凝术治疗。记录治疗前,治疗后1 d、1个月、3个月、6个月、1年和2年时的疼痛数字评分(NRS)和患者满意度评分(PSS),以治疗后患者NRS=0或NRS降低50%以上为标准记录起效时间、有效率以及复发情况,并记录卡马西平的用量和副作用。结果患者治疗后平均2 d(0~7 d)起效,与治疗前比较NRS评分下降(P0.05),PSS评分提高(P0.05),6个月内有效率100%。2年内复发率为11.1%,患者复发后再次行射频热凝术治疗仍然有效。除额面部麻木、短期内眼睑水肿、瘀斑外无其他副作用发生。结论射频热凝术治疗难治性眶上神经痛患者有效,副作用可耐受,是保守治疗无效患者的一种治疗选择。
[Abstract]:Objective to observe the effect of radiofrequency thermocoagulation on refractory supraorbital neuralgia. Methods from February 2007 to September 2014, 36 patients with refractory supraorbital neuralgia were treated with radiofrequency thermocoagulation. Before treatment, 1 day, 1 month, 3 months, 6 months, 1 year and 2 years after treatment, the pain number score (NRS) and the patient satisfaction score (PSS),) were recorded as the standard onset time. The patients' NRS=0 or NRS decreased by more than 50% after treatment. The effective rate and recurrence were recorded, and the dosage and side effects of carbamazepine were recorded. Results after treatment, the NRS score was significantly decreased (P0.05), PSS score) (P0.05), and the effective rate was 11.1% within 100.2 years after treatment (P 0.05). Radiofrequency thermocoagulation is still effective after recurrence. There were no side effects except frontal and facial numbness, short-term eyelid edema and ecchymosis. Conclusion radiofrequency thermocoagulation is an effective and tolerable treatment for refractory supraorbital neuralgia.
【作者单位】：首都医科大学附属北京天坛医院麻醉科;
【基金】：北京市医院管理局临床医学发展专项经费资助项目(No.XMLX201707) 北京市卫生系统高层次人才(学科骨干)项目(No.2014-3-035)
【分类号】：R745.11

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