摘要
目的探讨三叉神经半月节射频热凝术联合无水乙醇毁损术对高龄三叉神经痛患者的疗效。方法对我院2016年8月至2019年3月收治的62例原发性高龄三叉神经痛患者进行临床随访研究,将经三叉神经半月节射频热凝术治疗的患者作为对照组(30例),经三叉神经半月节射频热凝术联合无水乙醇毁损术治疗的患者作为观察组(32例)。观察2组患者的疗效、疼痛缓解、并发症及复发情况。结果对照组和观察组患者手术前疼痛视觉模拟量表(VAS)评分比较,差异无统计学意义(P>0.05);2组患者术后各时间点VAS评分均明显低于术前,且观察组术后各个时间点VAS评分均低于对照组,差异均具有统计学意义(P<0.05)。术后7 d,2组患者治疗有效率比较,差异无统计学意义(P>0.05);术后3个月、6个月、12个月,观察组治疗有效率高于对照组,差异均具有统计学意义(P<0.05)。随访期内观察组复发率低于对照组,差异具有统计学意义(P<0.05)。在术后各个时间点,2组患者面部感觉减退和咀嚼肌无力情况比较,差异无统计学意义(P>0.05)。结论与单纯三叉神经半月节射频热凝术比较,三叉神经半月节射频热凝术联合无水乙醇毁损术治疗高龄三叉神经痛患者的有效率更高,疼痛缓解更明显,复发率更低。
Objective To explore the efficacy of radiofrequency thermocoagulation combined with absolute ethanol destruction in the treatment of trigeminal neuralgia in elderly patients.Methods A clinical follow-up study was conducted on 62 elderly patients with primary trigeminal neuralgia in our hospital from August 2016 to March 2019.Patients treated with the trigeminal nerve semilunar radiofrequency thermocoagulation were selected as the control group(30 cases).Patients treated with the trigeminal nerve semilunar radiofrequency thermocoagulation combined with absolute ethanol destruction were selected as the observation group(32 cases).The efficacy,pain relief,complications and recurrence of the two groups were observed.Results There was no significant difference in pain visual analogue scale(VAS)scores between the two groups before operation(P>0.05).The VAS scores of the two groups at various time points after operation were significantly lower than those before operation,and the VAS scores of the observation group at various time points after operation were lower than those of the control group,the differences were statistically significant(P<0.05).There was no significant difference in the effective rate of treatment between the two groups at 7 days after operation(P>0.05).At 3,6,and 12 months after operation,the effective rates of treatment in the observation group were higher than those in the control group,and the differences were statistically significant(P>0.05).During the follow-up period,the recurrence rate of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).There was no significant difference in facial sensation and masticatory muscle weakness between the two groups at various time points after surgery(P>0.05).Conclusion Compared with the trigeminal nerve semilunar radiofrequency thermocoagulation,the trigeminal nerve semilunar radiofrequency thermocoagulation combined with absolute ethanol destruction has a higher effective rate,more obvio
作者
赵大敏
贾情
马树泽
崔二辉
徐欢
赵素倩
ZHAO Da-min;JIA Qing;MA Shu-ze;CUI Er-hui;XU Huan;ZHAO Su-qian(Department of Stomatology,Shijiazhuang First Hospital,Shijiazhuang Hebei 050000,China)
出处
《局解手术学杂志》
2020年第9期743-747,共5页
Journal of Regional Anatomy and Operative Surgery
基金
石家庄市科学技术研究与发展计划(191460513)。
关键词
射频热凝术
无水乙醇毁损术
高龄
三叉神经痛
疗效
radiofrequency thermocoagulation
absolute ethanol destruction
elderly
trigeminal neuralgia
efficacy
