[1]朱 浩 华泽权 薛聪聪 张 力.经颌下-卵圆孔入路穿刺射频热凝治疗三叉神经痛[J].中国临床神经外科杂志,2018,(07):482-483509.[doi:10.13798/j.issn.1009-153X.2018.07.010]
 ZHU Hao,HUA Ze-quan,XUE Cong-cong,et al.Radiofrequnency thermocoagulation via puncture for primary trigeminal neuralgia[J].,2018,(07):482-483509.[doi:10.13798/j.issn.1009-153X.2018.07.010]
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经颌下-卵圆孔入路穿刺射频热凝治疗三叉神经痛()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2018年07期
页码:
482-483509
栏目:
论著
出版日期:
2018-07-25

文章信息/Info

Title:
Radiofrequnency thermocoagulation via puncture for primary trigeminal neuralgia
文章编号:
1009-153X(2018)07-0482-02
作者:
朱 浩 华泽权 薛聪聪 张 力
作者单位:110016 沈阳,沈阳军区总医院口腔科
Author(s):
ZHU Hao HUA Ze-quan XUE Cong-cong ZHANG Li.
Department of Stomatology, Shenyang General Hospital, PLA, Shenyang 110016, China
关键词:
原发性三叉神经痛射频温控热凝术经颌下-卵圆孔入路Hartel前入路
Keywords:
Trigeminal neuralgia Foramen ovale Radiofrequency Thermocoagulation
分类号:
R 745.1+1; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2018.07.010
文献标志码:
A
摘要:
目的 探讨经颌下-卵圆孔入路穿刺射频热凝治疗三叉神经第Ⅲ支病变导致的原发性三叉神经痛的可行性和有效性。方法 2016年1月至2017年4月收治三叉神经第Ⅲ支病变导致的原发性三叉神经痛40例,采用经颌下-卵圆孔入路20例,采用Hartel前入路20例。两组均在三维CT定位下穿刺卵圆孔,定位成功后,行温控射频热凝治疗。结果 两组术后各有1例治疗无效,有效率均为95%,未见严重的并发症和其他神经损伤。两组手术时间大致相同(P>0.05)。术后6个月随访,疼痛缓解效果相同(P>0.05)。结论 三维CT定位下,经颌下-卵圆孔入路方法治疗三叉神经第Ⅲ支病变导致的原发性三叉神经痛具有可行性和有效性,并且可弥补Hartel前入路方法的局限。
Abstract:
Objective To explore the feasibility and outcomes of radiofrequnency thermocoagulation via puncture for primary trigeminal neuralgia. Methods Forty patients with isolated classical third branch (V3) trigeminal neuralgia were randomly divided into submandibullar region and foramen ovale approach group (n=20) and conventional Hartel’s approach group (n=20). The Gasserian ganglia through the foramen ovale were punctured and the radiofrequency thermocoagulation were performed after the trigger point of the neuralgia was accurately positioned in both the groups. Procedure details and the primary clinical outcomes and postoperative complication were compared between both the groups and analyzed. Results The neuralgia was unchanged in one patient of every group after the operation. The efficiency rates were all 95% and no serious complications occurred in both the groups. The following-up 6 months after treatment showed that the relief effect on pain is the same in both the groups. Conclusions The percutaneous radiofrequency thermocoagulation through submandibullar region and foramen ovale approach is practicable and its curative effect on the trigeminal neuralgia is good.

参考文献/References:

[1] 邱蔚六. 口腔颌面外科学[M]. 第6版. 北京:人民卫生出 版社,2008. 348-358.
[2] Koopman JS, Dieleman JP, Huygen FJ, et al. Incidence of facial pain in the general population [J]. Pain, 2009, 147: 122-127.
[3] 王 燕,华泽权,李欣欣,等. CT三维成像精确定位卵圆 孔行射频热凝术治疗原发性三叉神经痛的疗效分析[J]. 中国康复医学杂志,2012,27(7):616-620.
[4] 张志愿. 口腔颌面外科学[M]. 第7版. 北京:人民卫生出 版社,2012. 405-420.
[5] 吴承远,孟凡刚,王宏伟,等. 选择性射频热凝治疗三叉神 经痛1860例临床研究[J]. 中华神经外科杂志,2004,20: 55-58.
[6] Racz G, Erdine S. Trigeminal ganglion procedures [M]. In: Raj P, ed. Textbook of Regional Anesthesia. Philadelphia, PA: Churchill Livingstone, 2002. 801-808.
[7] 刘 垒,吴承远,于明光,等. 三维CT导向卵圆孔精确定 位射频热凝治疗三叉神经痛研[J]. 中国疼痛医学杂志, 2007,6:323-326.

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备注/Memo

备注/Memo:
基金项目:辽宁省自然科学基金(201602803) 通讯作者:张 力,E-mail:13309882712@163.com
更新日期/Last Update: 2018-07-25