摘要
目的探讨神经导航引导下经皮穿刺三叉神经半月节射频热凝术在治疗三叉神经痛中的应用。方法选取我科神经导航引导下经皮穿刺三叉神经半月节射频热凝治疗的156例患者资料。所有患者术前均经头部3D-CT薄层连续平扫,并将影像资料导入StealthStation Tria Plus手术导航系统,图像经三维重建后,确认患侧卵圆孔作为靶点,在导航实时引导下进行卵圆孔穿刺,并行电生理测试,再次确认靶点的位置无误后,进行射频热凝治疗。结果所有患者顺利穿刺成功,射频热凝术后,患者原有的面部疼痛均明显缓解或消失,术前患者VAS评分为9.67±0.47,术后VAS评分为0.22±0.57,差异有明显的统计学意义,且所有患者术后均无严重并发症。结论神经导航引导下经皮穿刺三叉神经半月节射频热凝术是一种微创,安全和疗效显著的三叉神经痛外科治疗手段。
Objective To explore the clinic value of neuronavigation-guided percutaneous radiofre- quency thermocoagulation for the trigeminal ganglion （NG-PRTFG） in treatment of trigeminal neuralgia （TN）. Methods NG-PRTFG was performed with trigeminal neuralgia. All patients underwent the thin- slice and continues head CT scans preoperatively,the CT data were transported into the Stealth-Station Tria Plus neuronavigation system,then three-dimensional reconstructed. The oval foramen as a target was punctured assisted by neuronavigation-guided and electrophysiology in order to accurately locate target, then radiofrequency thermocoagulation were performed on the patients. Results The needles located in oval foramen at successfully puncture, the facial pain alleviated or totally relieved immediately after operation. The preoperative Visual Analogue Scale （VAS） was 9.67 ±0. 47, and the postoperative VAS was 0.22 ±0.57. There were no serious complication in all patients. Conclusion The NG-PRTI＇G is a minimally invasive ,safety and efficacy surgical treatment for trigeminal neuralgia.
出处
《临床神经外科杂志》
CAS
2013年第6期341-343,共3页
Journal of Clinical Neurosurgery
关键词
神经导航
经皮穿刺三叉神经半月节射频热凝术
三叉神经痛
neuronavigation
percutaneous radiofrequency thermocoagulation of the trigeminalganglion
trigeminal neuralgia
