CAJ | 학술논문

目的：探讨CT引导下选择性穿刺圆孔射频热凝术在上颌神经痛治疗中的应用价值。方法在CT引导下，对18例上颌神经痛患者进行穿刺并对穿刺位置进行验证；确保穿刺位置无误后，对靶区域的上颌神经进行射频热凝毁损。结果术后疼痛完全消失12例，减轻4例，无缓解2例，总有效率88.8%；经6个月随访，4例复发。结论CT引导下选择性穿刺圆孔射频热凝术治疗定位准确、疗效好、操作简单，适用于上颌神经痛的治疗。
목적：탐토CT인도하선택성천자원공사빈열응술재상합신경통치료중적응용개치。방법재CT인도하，대18례상합신경통환자진행천자병대천자위치진행험증；학보천자위치무오후，대파구역적상합신경진행사빈열응훼손。결과술후동통완전소실12례，감경4례，무완해2례，총유효솔88.8%；경6개월수방，4례복발。결론CT인도하선택성천자원공사빈열응술치료정위준학、료효호、조작간단，괄용우상합신경통적치료。
Objective To evaluate the application value of CT-guided selective foramen rotundum puncture radiofrequency thermocoagulation in the treatment of maxillary neuralgia. Methods CT-guided puncture of 18 patients with maxillary neuralgia was conducted and then the veriifcation of the puncture positions was also conducted. Based on the correct puncture positions, radiofrequency thermocoagulation of maxillary nerve within the target region was conducted. Results After radiofrequency thermocoagulation, the pain condition of 12 patients was completely mitigated and that of 4 patients was partial mitigated while that of 2 patients was unchanged, which showed that the total effective rate of radiofrequency thermocoagulation was 88.8﹪. The results of 6 months follow-up showed that the relapse of maxillary neuralgia occurred in 4 patients. Conclusion CT-guided selective foramen rotundum puncture radiofrequency thermocoagulation with accurate positioning, favourable curative effect and simple operation methods is suitable for the treatment of maxillary neuralgia.