Objective： To quantitatively identify and grade trigeminal sensory functions after 3 major surgical procedures of trigeminal neuralgia using a newly developed quantitative sensory testing technique, current perceptio...Objective： To quantitatively identify and grade trigeminal sensory functions after 3 major surgical procedures of trigeminal neuralgia using a newly developed quantitative sensory testing technique, current perception threshold measurement （CPTM）. Methods： In the current study, there were 48 trigeminal neuralgia patients without history of prior surgical treatment. These patients received one of the following 3 surgical procedures, microvascular decompression （MVD）, peripheral nerve block with alcohol （PNB）, or percutaneous radiofrequency thermocoagulation （PRFT）. The quantitative sensory testing measurement, CPTM, and conventional qualitative sensory testing measurements were performed preoperatively and postoperatively to evaluate and grade the trigeminal sensory functions All 3 major cutaneous sensory fiber types, large myelinated fibers （A beta）, small myelinated fibers （A delta） and unmyelinated fibers（C） were allowed to quantitatively evaluate and grade by CPTM. The results of the measurements were statistically analyzed using a one-way analysis of variance （single factor）. Each subject was his/her own control for comparison of the preoperative to postoperative state on the asymptomatic and symptomatic sides. Subjects were tested 48 h preoperatively and 4 weeks postoperatively. Results： PNB with alcohol and PRFT caused significant sensory dysfunction postoperatively in every fiber type, indicating damage to all fibers. On the contrary, the sensory function in all 3 fiber types was unchanged after MVD management. Conclusion： Among the 3 major surgical procedures tested, only MVD preserves sensory function in trigeminal system. CPTM is of quantitative nature on the evaluation of sensory functions of nerve fibers展开更多
Along with the development of space science and technology,miniature liquid helium temperature long life cryocooler is a focus subject in cryogenic study.Since it is the precondition of space detection researches,inst...Along with the development of space science and technology,miniature liquid helium temperature long life cryocooler is a focus subject in cryogenic study.Since it is the precondition of space detection researches,institutions of space in many countries do the research on it.In this article,we designed a compound cooling system.A three-stage high frequency thermal coupled pulse tube cryocooler was used to precool a Joule-Thomson(JT)cryocooler.This system has no moving parts at low temperatures and is hence suitable for space operation.Liquid helium temperature was successfully achieved in both open loop and closed cycle experiments.In the closed cycle experiment,when 473 W electric power was inputted,the cooling system reached a no-load temperature of 4.4 K,and a cooling capacity of 11.6 mW was provided at 4.54 K.It is the first miniature liquid helium temperature JT cryocooler in China and the research achievement paves a way for the space application of ultra-long wave infrared detection and THz technologies.展开更多
文摘Objective： To quantitatively identify and grade trigeminal sensory functions after 3 major surgical procedures of trigeminal neuralgia using a newly developed quantitative sensory testing technique, current perception threshold measurement （CPTM）. Methods： In the current study, there were 48 trigeminal neuralgia patients without history of prior surgical treatment. These patients received one of the following 3 surgical procedures, microvascular decompression （MVD）, peripheral nerve block with alcohol （PNB）, or percutaneous radiofrequency thermocoagulation （PRFT）. The quantitative sensory testing measurement, CPTM, and conventional qualitative sensory testing measurements were performed preoperatively and postoperatively to evaluate and grade the trigeminal sensory functions All 3 major cutaneous sensory fiber types, large myelinated fibers （A beta）, small myelinated fibers （A delta） and unmyelinated fibers（C） were allowed to quantitatively evaluate and grade by CPTM. The results of the measurements were statistically analyzed using a one-way analysis of variance （single factor）. Each subject was his/her own control for comparison of the preoperative to postoperative state on the asymptomatic and symptomatic sides. Subjects were tested 48 h preoperatively and 4 weeks postoperatively. Results： PNB with alcohol and PRFT caused significant sensory dysfunction postoperatively in every fiber type, indicating damage to all fibers. On the contrary, the sensory function in all 3 fiber types was unchanged after MVD management. Conclusion： Among the 3 major surgical procedures tested, only MVD preserves sensory function in trigeminal system. CPTM is of quantitative nature on the evaluation of sensory functions of nerve fibers
基金supported by the Strategic Pioneer Program on Space Science,Chinese Academy of Sciences(Grant No.XDA04074100)the National Natural Science Foundation of China(Grant No.51306196)
文摘Along with the development of space science and technology,miniature liquid helium temperature long life cryocooler is a focus subject in cryogenic study.Since it is the precondition of space detection researches,institutions of space in many countries do the research on it.In this article,we designed a compound cooling system.A three-stage high frequency thermal coupled pulse tube cryocooler was used to precool a Joule-Thomson(JT)cryocooler.This system has no moving parts at low temperatures and is hence suitable for space operation.Liquid helium temperature was successfully achieved in both open loop and closed cycle experiments.In the closed cycle experiment,when 473 W electric power was inputted,the cooling system reached a no-load temperature of 4.4 K,and a cooling capacity of 11.6 mW was provided at 4.54 K.It is the first miniature liquid helium temperature JT cryocooler in China and the research achievement paves a way for the space application of ultra-long wave infrared detection and THz technologies.
