CT三维成像精准定位下行射频热凝治疗三叉神经痛的疗效观察

Observation of Curative Effect of Radiofrequency Thermocoagulation for the Treatment of Prosopalgia with CT Three-dimensional Imaging Precise Localization

探究计算机断层扫描(CT)三维成像精准定位下行射频热凝治疗三叉神经痛的临床疗效。选择2014年4月—2016年4月于青海大学附属医院接受治疗的160例三叉神经痛患者,随机分为2组,即观察组经CT三维成像精准定位下行射频热凝治疗,对照组经数字减影血管造影定位下行射频热凝治疗,再对比2组临床疗效。结果显示,观察组平均操作时间为(52.7±4.3)min,显著高于对照组(P<0.05);观察组穿刺成功率显著高于对照组(P<0.05);观察组治疗前视觉模拟评分(VAS)法评分为(8.55±0.83)分,与对照组对比P>0.05;治疗后VAS评分为(1.64±0.63)分,显著低于对照组(P<0.05);观察组并发症发生率显著低于对照组(P<0.05)。三叉神经痛患者经CT三维成像精准定位下行射频热凝治疗,可有效控制患者疼痛,降低并发症发生率,效果显著,值得临床推广采用。

This paper is to investigate the clinical efficacy of radiofrequencythermocoagulation （RFC） with CT three dimensional imaging precise localization for the treatment of prosopalgia. 160 patients suffering from prosopalgia who were treated in our hospital from April 2014 to April 2016 were randomly divided in to two groups, namely, the observation group was treated with radiofrequency thermocoagulation under CT three dimensional imaging precise localization, and the control group under digital subtraction angiog raphy（DSA）, whose clinical curative effect were compared. The average operation time period of observa tion group was（52.7±4.3） rain, obviously longer than that of control group（P〈0.05） the success rate of puncture in the observation group was significantly higher than that in the control group（P〈0.05） the score of visual analogue scale/score （VAS） of observation group before treatment was （8.55±0.83）, high er than control group（P〉0.05）, and （1.64±0.63） after treatment, greatly lower than control group （P〈 0.05） the incidence of complications in the observation group was significantly lower than that in the con trol group（P〈0.05）. Radiofrequency thermocoagulation therapy with CT three dimensional imaging pre cise localization for the treatment of prosopalgia can effectively control pain and reduce the incidence of complications and is worthy of clinical application with such remarkable effect.