《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (07): 615-616.

• 专题 • 上一篇    下一篇

射频治疗颅内良性肿瘤继发三叉神经痛的临床观察

王涛1a;姜金玉1b;赵继宗1a;罗芳1b   

  1. 1.首都医科大学附属北京天坛医院,a.神经外科;b.麻醉科,北京市 100050
  • 收稿日期:2009-05-19 出版日期:2009-07-01 发布日期:2009-07-01
  • 通讯作者: 赵继宗

Radiofrequency for Trigeminal Neuralgia as a Complaint of Intracranial Benign Tumor: 18 Cases Report

WANG Tao,JIANG Jin-yu,ZHAO Ji-zong,et al   

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

摘要: 目的 总结以三叉神经痛为主要表现的颅内良性肿瘤患者经射频治疗的疗效。方法 射频治疗18例以三叉神经痛为主要表现的颅内良性肿瘤患者,评价治疗前后的疼痛程度数字评分(NRS),记录并发症发生情况。结果 射频治疗后NRS较治疗前明显降低(P<0.01)。术后并发症包括面部麻木、咀嚼运动障碍等。随访至术后13个月复发1例,24个月复发1例,均经再次射频治疗疼痛消失。结论 射频治疗对颅内良性肿瘤继发的三叉神经痛有满意疗效。

关键词: 三叉神经痛, 射频治疗, 颅内肿瘤, 并发症

Abstract: Objective To investigate the effect of radiofrequency on trigeminal neuralgia as the chief complaint of intracranial benign tumor. Methods 18 patients with intracranial benign tumor mainly presenting with trigeminal neuralgia were treated with radiofrequency thermocoagulation guided by CT scanning. The numeric rating scales (NRS) of pain and the complication were observed. Results The scores of NRS decreased significantly after treatment (P<0.01). The common complications included facial numbness and masticatory movement obstacle. One patient recurred 13 months and another patient recurred 24 months after operation. Both were treated with radiofrequency once again, and the pain ceased. Conclusion Radiofrequency is effective on secondary trigeminal neuralgia after intracranial benign tumor.

Key words: trigeminal neuralgia, radiofrequency, intracranial tumor, complication