天津医药

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立体定向半月神经节脉冲射频热凝术治疗原发性三叉神经痛

刘建杰

  

  1. 海洋石油总医院（天津塘沽区渤海石油路10号）
  • 收稿日期:2009-12-20 修回日期:2010-06-03 出版日期:2010-09-15 发布日期:2010-09-15
  • 通讯作者: 孙明礼

Pulse radiofrequency thermocoagulation for treatment of Idiopathic Trigeminal neuralgia by Stereotactic instrument

  • Received:2009-12-20 Revised:2010-06-03 Published:2010-09-15 Online:2010-09-15

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摘要： 目的 探讨原发性三叉神经痛的病因和立体定向仪与脉冲射频热凝术相结合治疗原发性三叉神经痛的手术技巧。 方法 通过CT扫描确定卵圆孔位置，采用立体定向技术穿刺卵圆孔，射频热凝术治疗三叉神经痛，并与徒手穿刺组进行对比。 结果 立体定向下卵圆孔一次穿刺成功率和射频热凝治疗优良率均为100%，并发症出现率为8.6%(3个月)和10.3%（1年）。 结论 立体定向半月神经节脉冲射频热凝术治疗原发性三叉神经痛是一种安全、有效的治疗方法，能够减少并发症的发生。

关键词: 立体定向, 射频热凝术, 卵圆孔, 半月神经节, 原发性三叉神经痛

Abstract: Objective To explore the etiopathogenisis of idiopathic trigeminal neuralgia(TN) and the joint technique of Stereotactic and Radiofrequency thermocoagulation. Methods The foramen ovale was localized under CT scan and penetrated guided by CT stereotactic. 26 patients was treated by radiofrequency thermocoagulation, and compared with others treatments. Results Successful penetrations when guided by CT stereotactic.and satisfied treatments by Radiofrequency thermocoagulation were 100 percent were obse-rved in all patients.The complication was 8.6%(3 monthes) and 10.3%(1 year). Conclusions Pulse radiofrequency thermocoagulation for treatment of Idiopathic Trigeminal neuralgia by Stereotactic instrument is a ecurity and efficacious treatment and able to eli-minate complications.

Key words: Stereotactic, Radiofrequency thermocoagulation, Foramen ovale, Trigeminal ganglion, Idiopathic trigeminal neuralgia