摘要
目的探讨下颌神经干射频热凝术治疗三叉神经痛的方法和疗效。方法选取24例三叉神经痛(第3支)患者局麻下行下颌神经穿刺,电生理测试位置准确后给予60℃-70℃-75℃-80℃射频热凝。结果穿刺成功率为100.0%,优良率为95.8%(23/24),常见并发症为面部感觉减退,2例出现穿刺局部肿胀,1例出现张口轻微受限。术后1年随访,3例8个月后复发。结论下颌神经干行射频热凝术治疗三叉神经痛是一种操作方便、创伤小、安全有效的方法。
Objective To discuss the methods and the effect of mandibular nerve radiofrequency thermo- coagulation for the treatment of trigeminal neuralgia. Methods Twenty-four patients with trigeminal neuralgia underwent puncture of the mandibular nerve under local anesthesia, after accurate positioning by electrophysiological test, treated by 60℃ - 70℃ - 75℃ - 80℃ radiofrequency thermocoagulation. Results The success rate of mandibular nerve puncture was 100. 0%. Excellent and good rate was 95. 8% （23/24）. Common complication was hypoesthesia of face. Local swell was found in 2 cases, mild opening limitation in 1 case~ The patients were followed up for 1 year after operation, relapse was found in 3 cases after 8 months. Conclusion The treatment of trigminal neuralgia by mandibular nerve radiofrequeney thermocoagulation is a microinvasive, safe and effective treatment method.
出处
《中国临床新医学》
2012年第8期775-777,共3页
CHINESE JOURNAL OF NEW CLINICAL MEDICINE
关键词
三叉神经痛
下颌神经
电生理测试
射频热凝
Trigminal neuralgia
Mandibular nerve
Electrophysiological test
Radiofrequency thermocoagulation
