摘要
目的探讨Force CT引导下双针脉冲射频治疗原发性舌咽神经痛的临床疗效。方法选择2017年1月至2023年7月于包头市中心医院疼痛科住院行脉冲射频术的60例原发性舌咽神经痛患者为研究对象,依据抛硬币法随机分为对照组和观察组,各30例。对照组行普通CT引导下双针脉冲射频治疗,观察组行Force CT引导下双针脉冲射频治疗。观察记录两组患者CT扫描次数、治疗操作时间,术前、术后1周、术后1年巴罗神经研究所疼痛强度评分(BNI-P)分级,以及手术相关并发症发生情况。结果观察组CT扫描次数少于对照组[3(3,4)次比7(6,8)次],治疗操作时间短于对照组[30(30,40)min比65(50,70)min](P<0.01)。治疗后1周,观察组患者BNI-P分级低于对照组[2(1,2)级比2(2,4)级](P<0.05)。与治疗前相比,两组患者治疗后1周、治疗后1年BNI-P分级均降低(P<0.01);观察组疗效良好率高于对照组[83.3%(25/30)比60.0%(18/30)](χ^(2)=4.022,P=0.045)。两组患者并发症发生率比较差异无统计学意义(P>0.05)。结论Force CT引导下行脉冲射频术的原发性舌咽神经痛患者CT扫描次数、手术时间均少于普通CT引导患者,且疗效良好率优于普通CT引导,均无严重并发症。
Objective To investigate the clinical efficacy of Force CT-guided double-needle pulse radiofrequency in the treatment of primary glossopharyngeal neuralgia.Methods Sixty patients with primary glossopharyngeal neuralgia who underwent pulsed radiofrequency surgery in the Department of Pain Management of Baotou Central Hospital from Jan.2017 to Jul.2023 were included as the study objects,and randomly divided into a control group(n=30)and an observation group(n=30)according to the coin toss method,with 30 cases in each group.The control group received conventional CT guided double-needle pulsed radiofrequency therapy,and the observation group received Force CT guided double-needle pulsed radiofrequency therapy.The number of CT scans,the duration of treatment were observed and recorded,as well as the Barrow Neurological Institute pain intensity score(BNI-P)grade before,1 week after,and 1 year after the operation,together with the incidence of surgery-related complications.Results The number of CT scans in the observation group was less than that in the control group[3(3,4)times vs 7(6,8)times],and the treatment operation time was shorter than that in the control group[30(30,40)min vs 65(50,70)min](P<0.01).One week after treatment,the BNI-P grade of the observation group was lower than that of the control group[2(1,2)grade vs 2(2,4)grade](P<0.05).Compared with before treatment,the BNI-P grade of both groups decreased at 1 week after treatment and 1 year after treatment(P<0.01).The good efficacy rate of the observation group was higher than that of the control group[83.3%(25/30)vs 60.0%(18/30)](χ^(2)=4.022,P=0.045).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusion Force CT-guided pulsed radiofrequency has fewer CT scans and shorter surgical time compared to conventional CT guided pulsed radiofrequency,and has a higher good efficacy rate for patients with primary glossopharyngeal neuralgia,and both with no serious complications.
作者
黄贾敏
曹宏
HUANG Jiamin;CAO Hong(The Central Clinical College of Baotou Medical College,Baotou 014040,China;Department of Pain Management,Baotou Central Hospital,Baotou 014040,China)
出处
《医学综述》
2025年第7期877-880,892,共5页
Medical Recapitulate
基金
内蒙古自治区卫生健康科技计划项目(202201503)。
关键词
舌咽神经痛
脉冲射频
Force
CT
Glossopharyngeal neuralgia
Pulsed radiofrequency
Force CT
