CAJ | 학술논문

对48例采用耳-床线定位射频治疗三叉神经痛的患者进行5年的回顾和分析,观察术后疼痛、复发及并发症情况.一次性穿刺成功率100%;经1次治疗疼痛完全消失者46例, 疼痛明显减轻、发作次数明显减少者2例,无复发病例,无穿刺相关并发症发生.通过回顾分析确定穿刺针针尖到耳-床线垂直距离控制在:第Ⅲ支8～10 mm,第Ⅱ支6～7 mm,第Ⅰ支4～5 mm.为避免三叉神经第Ⅰ支损伤,垂直距离控制在6 mm以上而且针尖决不能超过耳-床线.
대48례채용이-상선정위사빈치료삼차신경통적환자진행5년적회고화분석,관찰술후동통、복발급병발증정황.일차성천자성공솔100%;경1차치료동통완전소실자46례, 동통명현감경、발작차수명현감소자2례,무복발병례,무천자상관병발증발생.통과회고분석학정천자침침첨도이-상선수직거리공제재:제Ⅲ지8～10 mm,제Ⅱ지6～7 mm,제Ⅰ지4～5 mm.위피면삼차신경제Ⅰ지손상,수직거리공제재6 mm이상이차침첨결불능초과이-상선.
In 48 postoperative cases using ear-clinoidal line positioning in radiofrequency thermocoagulation for treatment of trigeminal neuralgia,observing its recurrence and postoperative pain and complications in a five-year review. The successful rate of puncturing one time was 100%. Pain disappeared completely in 46 cases with one therapy. Two cases alleviated pain and decreased outbreak times. No recurrence and postoperative complications were observed. The vertical distance between the needle tip and the ear-clinoidal line were confirmed 8-10 mm in the third branch, 6-7 mm in the twice branch, 4-5 mm in the first branch. In order to avoid the first branch of trigeminal nerve injury, the vertical distance must be less than 6 mm, and the needle tip can not exceed ear-clinoidal line.