CT定位进行射频温控热凝术治疗三叉神经痛(附63例报告)

Radiofrequency thermocoagulation (RFT) under CT guide positioning for treatment of trigeminal neuralgia with clinical reports of 63 cases

目的对ＣＴ定位下进行射频温控热凝治疗三叉神经痛的疗效进行总结，进一步阐明ＣＴ定位的优点。方法采用ＣＴ定位进行射频温控热凝术治疗三叉神经痛共６３例，并经３个月～２年随访。结果所有患者均获得疼痛缓解，无一例失败，至今无复发病例。有三例出现并发症，分别为颅外血肿、耳鸣及角膜麻痹，经治疗后无后遗症。结论ＣＴ定位能极大提高穿刺卵园孔的成功率，减少并发症，弥补了传统定位方法的缺陷，具有较高的临床实用价值。

Objective To Survey the therapeutic effect and complication of CT positioning with RFT in the treatment of trigeminal neuralgia,further expound advantage of CT guide positioning in RFT. Methods 63 cases of trigeminal neuralgia were unedrwent CT positioning with RFT in our department after a follow up observation of 3￣24 months. Results All the patients got successful procedure with pain relief and without recurrence and failure,three cases had complications as hematoma,tinnitus and corneal palsy but cured without sequela. Conclusion CT positioning improved greatly the successful rate of puncture foramen ovale and decreased complication.It overcomes the disadvantage of traditional positioning method.It has the better value of clinical application.