《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (07): 611-612.

• 专题 • 上一篇    下一篇

半月节脉冲射频治疗三叉神经痛的临床观察

孟岚1a;马国峰1b;王保国2   

  1. 1.首都医科大学附属北京天坛医院，a.麻醉疼痛科;b.神经放射科,北京市 100050; 2.北京三博脑科医院麻醉疼痛科，北京市 100093
  • 收稿日期:2009-05-19 出版日期:2009-07-01 发布日期:2009-07-01

Effect of Pulsed Radiofrequency on Trigeminal Neuralgia

MENG Lan,MA Guo-feng,WANG Bao-guo   

  1. Department of Anaesthesiology，Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China
  • Received:2009-05-19 Published:2009-07-01 Online:2009-07-01

PDF (PC)

被引次数

26

摘要： 目的 观察螺旋CT引导下半月节穿刺脉冲射频治疗三叉神经痛的临床疗效。方法 100例原发性三叉神经痛患者随机分为研究组（n=44,行半月节脉冲射频治疗）和对照组（n=56，行半月节射频热凝）。比较治疗前、治疗后1 d、3 d、1周、1个月，6个月和12个月时的数字评分（NRS）及副作用发生情况。结果 治疗后两组各时间点NRS评分均较治疗前明显降低(P<0.01)。对照组见效较快。治疗后随访1年两组疗效相当，研究组的副作用发生率低于对照组。结论半月节脉冲射频治疗三叉神经痛安全有效、副作用少，适用于高龄、体弱的患者。

关键词: 半月节, 脉冲射频, 射频热凝, 三叉神经痛

Abstract: Objective To investigate the therapeutic efficacy and side-effect of pulsed radiofrequency and radiofrequency thermocoagulation for gasserian ganglion guided by spiral CT on trigeminal neuralgia. Methods 100 patients diagnosed as idiopathic trigeminal neuralgia were treated with pulsed radiofrequency or radiofrequency thermocoagulation for gasserian ganglion. They were assessed with numeric rating scales (NRS) before and 1 d，3 d，1 week， 1 month, 6 months and 12 month after treatment. The side effects were recorded. Results There was significant decrease in the scores of NRS after treatment compared with those before (P<0.01) in both groups. No serious side effects were observed. Conclusion Pulsed radiofrequency for gasserian ganglion for trigeminal neuralgia was effective and less side-effect.

Key words: gasserian ganglion, pulsed radiofrequency, radiofrequency thermocoagulation, trigeminal neuralgia