中国医药导报2019年8月第16卷第22期窑麻醉与疼痛窑CT引导下半月节低温等离子消融术治疗原发性三叉神经痛的临床观察贺海丽1杨立强2银宋胜文3郭玉娜2王琦2何亮亮2岳剑宁2王小平2曹国庆21.首都医科大学附属北京佑安医院手术麻醉科袁北京100069曰2.首都医科大学宣武医院疼痛诊疗中心袁北京100053曰3.浙江大学医学院附属第一医院麻醉科袁浙江杭州310003[摘要]目的研究CT引导下三叉神经半月节低温等离子消融术治疗原发性三叉神经痛的临床疗效及其并发症遥方法选取2017年9月~2018年4月于首都医科大学宣武医院疼痛科行原发性三叉神经低温等离子消融术的原发性三叉神经痛患者48例袁分别记录患者术前渊T0冤尧术后即刻渊T1冤尧术后1周渊T2冤袁术后员个月渊T3冤及术后评分均较T0时刻VAS评分有明显降低袁差异有统计学意义渊P<0.05冤曰48例患者T1尧T2尧T3尧T4均出现不同程度的3个月渊T4冤的疼痛视觉模拟评分渊VAS冤尧麻木评分尧并发症及患者满意度遥结果48例患者T1尧T2尧T3尧T4时刻VAS面部麻木袁均为轻尧中度麻木袁且随时间推后明显好转袁不影响日常生活曰主要并发症包括咀嚼肌力下降27例渊56.25%冤袁角膜感觉减退1例渊2.08%冤袁耳鸣3例渊6.25%冤袁流清鼻涕1例渊2.08%冤遥术后各时间点袁患者均未出现视力障碍尧颅内感染尧低颅压头痛尧晕厥等严重并发症遥结论CT引导下三叉神经半月节低温等离子消融术治疗原发性三叉神经痛是一种疗效好且安全的方法遥[关键词]低温等离子消融术曰原发性三叉神经痛曰三叉神经半月节曰CT引导[中图分类号]R745.11[文献标识码]A[文章编号]1673-7210渊2019冤08渊a冤-0115-04ClinicalobservationonthetreatmentofidiopathictrigeminalneuralgiabytempetaturecontrolledradiofreguencyablationunderCTguidanceHEHaili1YANGLiqiang2银SONGShengwen3GUOYu忆na2WANGQi2HELiangliang2WANGXiaoping2CAOGuoqing21.DepartmentofAnesthesiology,BeijingYou忆anHospital,CapitalMedicalUniversity,BeijingterofPain,XuanwuHospital,CapitalMedicalUniversity,Beijing100069,China;2.Cen鄄YUEJianning2FirstAffiliatedHospital,SchoolofMedicine,ZhejiangUniversity,ZhejiangProvince,Hangzhou310003,China100053,China;3.DepartmentofAnesthesiology,the[Abstract]ObjectiveTostudytheclinicalefficacyandcomplicationsoftempetaturecontrolledradiofreguencyablationontreatmentofidiopathictrigeminalneuralgiabyCTguidance.MethodsForty-eightpatientsofidiopathictrigeminalneuralgiatreatedinDepartmentofPain,XuanwuHospital,CapitalMedicalUniversityfromSeptember2017toApril2018wereenrolledintothisstudy.TheVAS,numbnessscore,complicationsandpatients忆satisfactionbeforeoperation,andafteroperationforimmediately(T1),1week(T2),1month(T3),3months(T4)wereevaluated.ResultsComparedstatisticallysignificantdifferences(P<0.05).Allthe48patientsatT1,T2,T3andT4showeddifferentdegreesoffacialofdecreasedmasticatorymusclestrength,1case(2.08%)ofcornealhypoesthesia,3cases(6.25%)oftinnitus,1case(2.08%)ofrunnynose.Therewerenoseriouscomplicationssuchasvisualimpairment,intracranialinfection,lowcranialpres鄄tivetreatmentforidiopathictrigeminalneuralgia.guidancenumbness,whichwasmildandmoderate,anddidnotaffectdailylife;majorcomplicationsincluded27cases(56.25%)sureheadacheandsyncope.ConclusionCTguidedtempetaturecontrolledradiofreguencyablationisasafeandeffec鄄[Keywords]Tempetaturecontrolledradiofreguencyablation;Idiopathictrigeminalneuralgia;Trigeminalganglion;CTwiththeVASofpreoperativepain,postoperativepainatT1,T2,T3andT4,wassignificantlyrelievedinallpatients,with三叉神经痛是一种在特定区域内发作的痉挛性疼痛袁属于较为常见的顽固性疼痛性疾病袁疼痛程度极为剧烈袁易反复发作袁患者常常伴发焦虑尧抑郁等精[基金项目]首都医科大学科研培育基金项目渊H0609冤遥银神疾病袁对患者的生活和工作造成十分严重的影响[员]遥我国三叉神经痛的患病率为182/10万袁年发病率为渊3耀5冤/10万[2]遥原发性三叉神经痛渊idiopathictrigemi鄄nalneuralgia袁ITN冤的病因和发病机制至今尚无明确定CHINAMEDICALHERALDVol.16No.22August2019通讯作者论袁大多数研究认为疼痛与血管压迫神经尧神经周围115
CT引导下半月节低温等离子消融术治疗原发性三叉神经痛的临床观察 - 论文
