CT引导射频热凝术治疗三叉神经痛临床分析

Clinical analysis of CT guided percutaneous radiofrequency thermocoagulation for treatment of trigeminal neuralgia

目的对CT引导经皮穿刺半月神经节射频热凝术治疗三叉神经痛的临床效果进行分析和评价。方法选取三叉神经痛患者52例，在CT三维引导下对三又神经第Ⅱ支痛、第Ⅲ支痛、Ⅱ＋Ⅲ支痛患者应用前入路卵圆孔穿刺半月神经节，术中验证靶点，并在全身麻醉下进行标准射频靶点温控毁损。结果52例患者中，经治疗效果优49例，良1例，差2例，优良率为96．15％。结论对三叉神经痛患者采用CT引导经皮穿刺半月神经节射频热凝术治疗，简单、安全，且患者易于接受，治愈率较高，值得借鉴和推广。

Objective To analyze and evaluate the clinical effect of CT guided percutaneous semilunar gan- glion radiofrequency thermoeoagulation for treatment of trigeminal neuralgia. Methods 52 patients with trigeminal neuralgia treated in our hospital were selected. They underwent the CT three-dimensional guidance on trigeminal neu- ralgia II, III, II ＋ III neuralgia neuralgia patients with anterior foramen ovale puncture semilunar ganglion, verify the operative target, and a standard radiofrequency target temperature damage under general anesthesia. Results Of the 52 patients,the treatment effect was excellent in 49 cases, good in 1 patient, the effect of other 2 cases was poor, the excellent and good rate was 96. 15%. Conclusion CT guided percutaneous puncture semilunar ganglion radiofre- quency thermocoagulation in the treatment of patients with trigeminal neuralgia is simple, safe, and easy to be accepted by patients, the cure rate is high, it is worth learning and promotion.