摘要
目的观察螺旋CT引导下半月节穿刺脉冲射频治疗三叉神经痛的临床疗效。方法100例原发性三叉神经痛患者随机分为研究组(n=44,行半月节脉冲射频治疗)和对照组(n=56,行半月节射频热凝)。比较治疗前、治疗后1 d、3 d、1周、1个月,6个月和12个月时的数字评分(NRS)及副作用发生情况。结果治疗后两组各时间点NRS评分均较治疗前明显降低(P<0.01)。对照组见效较快。治疗后随访1年两组疗效相当,研究组的副作用发生率低于对照组。结论半月节脉冲射频治疗三叉神经痛安全有效、副作用少,适用于高龄、体弱的患者。
Objective To investigate the therapeutic efficacy and side-effect of pulsed radiofrequency and radiofrequency thermo- coagulation for gasserian ganglion guided by spiral CT on trigeminal neuralgia. Methods 100 patients diagnosed as idiopathic trigeminal neuralgia were treated with pulsed radiofrequency or radiofrequency thermocoagulation for gasserian ganglion. They were assessed with numeric rating scales (NRS) before and 1 d,3 d,1 week, 1 month, 6 months and 12 month after treatment. The side effects were recorded. Results There was significant decrease in the scores of NRS after treatment compared with those before (P〈0.01) in both groups. No serious side effects were observed. Conclusion Pulsed radiofrequency for gasserian ganglion for trigeminal neuralgia was effective and less side-effect.
出处
《中国康复理论与实践》
CSCD
2009年第7期611-612,共2页
Chinese Journal of Rehabilitation Theory and Practice
基金
国家重点基础研究发展计划(973计划)(2007CB512503)
关键词
半月节
脉冲射频
射频热凝
三叉神经痛
gasserian ganglion
pulsed radiofrequency
radiofrequency thermocoagulation
trigeminal neuralgia