CAJ | 학술논문

目的：观察微创介入治疗方法治疗颈源性头痛的效果。方法选择2012年12月至2014年8月本院收治的符合颈源性头痛诊断标准的患者26例，择期于CT引导下行翼腭神经节及相应颈椎脊神经节进行射频毁损治疗。观察其疗效、患者疼痛程度、发作频率和每次持续时间。结果治疗后疼痛完全缓解15例（57．7％），好转9例（34．6％），有效1例（3．8％），无效1例（3．8％）。完全缓解率57．7％，总有效率为96．2％。患者治疗前后视觉模拟（VAS）评分由7．86±1．05分降为1．08±1．02分，治疗前后比较差异具有统计学意义（ P＜0．01）；治疗后2周、1个月、3个月每周头痛发作次数及每次持续时间明显降低，与治疗前比较有显著性差异（ P＜0．05）。结论采用微创介入治疗技术治疗颈源性头痛取得良好的治疗效果，减少毒副作用的发生。
목적：관찰미창개입치료방법치료경원성두통적효과。방법선택2012년12월지2014년8월본원수치적부합경원성두통진단표준적환자26례，택기우CT인도하행익악신경절급상응경추척신경절진행사빈훼손치료。관찰기료효、환자동통정도、발작빈솔화매차지속시간。결과치료후동통완전완해15례（57．7％），호전9례（34．6％），유효1례（3．8％），무효1례（3．8％）。완전완해솔57．7％，총유효솔위96．2％。환자치료전후시각모의（VAS）평분유7．86±1．05분강위1．08±1．02분，치료전후비교차이구유통계학의의（ P＜0．01）；치료후2주、1개월、3개월매주두통발작차수급매차지속시간명현강저，여치료전비교유현저성차이（ P＜0．05）。결론채용미창개입치료기술치료경원성두통취득량호적치료효과，감소독부작용적발생。
Objectives To observe the efficacy of minimally invasive interventional treatment in patients with cervicogenic head-ache.Methods A total of 26 patients with cervicogenic headache from June 2012 to Aug 2014 were selected and performed with ra-diofrequency ablation in ganglion pterygopalatinum and the corresponding cervical spinal ganglia under the guidance of CT.The effi-cacy, pain degree, seizure frequency and duration of every time were observed.Results After treatment, 15 cases were with com-plete remission, 9 cases were better, 1 were stable and 1 were ineffective.And complete remission rate was 57.7%and overall re-sponse rate was 96.2%.VAS score before and after treatment reduced from 7.86 ±1.05 to 1.08 ±1.02 and the difference was sig-nificant (P<0.01).Seizure frequency and duration of every time of headache decreased obviously 2 weeks, 1 month and 3 months after treatment (P<0.05).Conclusions Minimally invasive interventional treatment is effective in patients with cervicogenic head-ache, with less toxic and side effect.