论文部分内容阅读
目的:探讨射频温控热凝术治疗三叉神经痛老年复发患者的方法并评价其疗效和意义。方法:应用射频热凝技术对112例三叉神经痛复发老年患者行局部麻醉下经皮穿刺半月神经节温控射频热凝术,行累计有效率等评估。结果:此112例患者,第1次治疗后疗效维持时间平均(7.3±1.3)年后复发。本次温控射频,1次通电射频治疗后疼痛立即减轻的100例(89.28%),2次后疼痛立即减轻的8例(7.14%),3次后疼痛立即的减轻2例(1.79%),疼痛无变化2例(1.79%),总有效率为98.21%。术后5年内VAS评分、卡马西平服用量、面部浅感觉及生活满意度自我评价均能较治疗前好(均P<0.05)。Kaplan-Meier方法显示3年内,累积有效率维持在57.5%以上,其中患者在治疗后大约40个月以后复发风险明显增加。结论:半月神经节温控射频热凝术治疗三叉神经痛老年复发患者是较为理想的方法,复发后可再次应用。
Objective: To explore the method of radiofrequency thermocoagulation in the treatment of elderly patients with trigeminal neuralgia and to evaluate its curative effect and significance. Methods: Radiofrequency thermocoagulation (RF) was used to assess the cumulative effective rate of radiofrequency thermocoagulation in 112 elderly patients with recurrent trigeminal neuralgia under local anesthesia. Results: The 112 patients had an average of (7.3 ± 1.3) years of follow-up after the first treatment. Eighty patients (89%) were immediately relieved of pain after immediate RF radiofrequency treatment and eight patients (7.14%) immediately relieved of pain immediately after twice RFI treatment. Two patients (1.79%) immediately relieved pain after three times of radiotherapy. , No change in pain in 2 cases (1.79%), the total effective rate was 98.21%. VAS score, carbamazepine dosage, facial superficial feeling and life satisfaction self-evaluation within 5 years after operation were better than those before treatment (all P <0.05). The Kaplan-Meier method showed that the cumulative effective rate remained above 57.5% within 3 years, with a significantly increased risk of recurrence in about 40 months after treatment. Conclusion: Radiofrequency thermocoagulation with semilunar ganglion temperature-controlled radiofrequency thermocoagulation is an ideal method for the treatment of patients with recurrent trigeminal neuralgia and relapse.