CT引导下射频热凝治疗原发性三叉神经痛的临床疗效

发布时间：2018-04-28 18:39

本文选题：三叉神经痛 + 射频热凝　；参考：《介入放射学杂志》2017年10期

【摘要】：目的探讨运用CT引导下射频热凝治疗原发性三叉神经痛的临床效果。方法选取原发性三叉神经痛患者165例作为研究对象,所有患者采用随机抽签法分成射频热凝组和药物毁损组,射频热凝组患者83例,药物毁损组患者82例。射频热凝组采用CT引导下射频热凝治疗三叉神经痛,药物毁损组采用CT引导下经皮穿刺卵圆孔表阿霉素化学毁损治疗三叉神经痛,于治疗后3个月、6个月、1年、3年进行随访,观察两组患者的VAS评分变化、治疗总有效率及并发症发生率指标。结果射频热凝组优良率明显优于药物毁损组,两组差异有统计学意义(P0.05);两组并发症发生率比较,射频热凝组明显更低,差异有统计学意义(P0.05);两组随访期VAS疼痛评分比较,观察组更低,且远期疼痛情况稳定,总体治疗效果突出。结论采用CT引导下射频热凝治疗原发性三叉神经痛的临床效果显著,值得推广应用。
[Abstract]:Objective to investigate the clinical effect of CT-guided radiofrequency thermocoagulation in the treatment of primary trigeminal neuralgia. Methods 165 patients with primary trigeminal neuralgia were randomly divided into radiofrequency thermocoagulation group (RFA) group (n = 83) and drug lesion group (n = 82). Radiofrequency thermocoagulation group was used to treat trigeminal neuralgia under CT guidance, and drug lesion group was treated by percutaneous puncture of adriamycin on oval foramen under CT guidance. The patients were followed up for 3 months, 6 months, 1 year and 3 years after treatment. The changes of VAS score, the total effective rate and the incidence of complications in the two groups were observed. Results the excellent and good rate of radiofrequency thermocoagulation group was significantly better than that of the drug lesion group, and the difference between the two groups was statistically significant (P 0.05), the incidence of complications in the radiofrequency thermocoagulation group was significantly lower than that in the radiofrequency thermocoagulation group (P 0.05), and the VAS pain score in the two groups during the follow-up period was higher than that in the control group. The observation group is lower, and the long-term pain is stable, the overall therapeutic effect is outstanding. Conclusion CT guided radiofrequency thermocoagulation is effective in the treatment of primary trigeminal neuralgia.
【作者单位】：第三军医大学大坪医院(野战外科研究所)疼痛医学科;
【分类号】：R745.11;R816.1

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