CAJ | 학술논문

目的观察和分析射频热凝术治疗原发性三叉神经痛的临床疗效及并发症.方法在DSA或C型臂引导下,采用Hartel前入路法,穿刺三叉神经半月节后以温控射频热凝对靶点毁损,温度控制在76～80 ℃,持续时间1～2 min,共3～4次.结果本组56例中,53例术后疼痛完全消失,为Ⅰ级,视为临床治愈,治愈率为94.6%;1例达Ⅱ级明显缓解;1例达Ⅲ级;1例为Ⅳ级无效.治疗优良率为96.4%,总有效率为98.2%.无严重并发症.结论射频热凝术是治疗原发性三叉神经痛安全可靠及有效的一种微创治疗技术.
목적 관찰화분석사빈열응술치료원발성삼차신경통적림상료효급병발증.방법 재DSA혹C형비인도하,채용Hartel전입로법,천자삼차신경반월절후이온공사빈열응대파점훼손,온도공제재76～80 ℃,지속시간1～2 min,공3～4차.결과 본조56례중,53례술후동통완전소실,위Ⅰ급,시위림상치유,치유솔위94.6%;1례체Ⅱ급명현완해;1례체Ⅲ급;1례위Ⅳ급무효.치료우량솔위96.4%,총유효솔위98.2%.무엄중병발증.결론 사빈열응술시치료원발성삼차신경통안전가고급유효적일충미창치료기술.
Objective To observe the clinical effects and complications of primary trigeminal neuralgia treatment with radiofrequency thermocoagulation on gasserian ganglion. Methods Under the guidance of C-arm or DSA and with Hartel method, we percutaneously punctured the oval foramen to gasserian ganglion and performed radiofrequency times. Results Pain was completed eliminated in 53 of the 56 patients, which was regarded as degree Ⅰ of clinical cure with the curativeness rate being 96.4%; 1 case was of degree Ⅱ; 1 case was of degree Ⅲ; 1 case had no effect. The rate of satisfactory effectiveness was 96.4% and the total rate of efficacy was 98.2%. No severe complications were observed. Conclusion Radiofrequency thermocoagulation is a safe and effective method to treat primary trigeminal neuralgia with few severe complications.