摘要
目的观察低温等离子消融术治疗三叉神经痛(TN)的有效性及安全性。方法回顾性分析127例三叉神经第2、3支病变TN患者,其中72例接受C臂X线机引导下低温等离子消融治疗(A组),55例接受C臂X线机引导下射频热凝术治疗(B组)。对比2组术前、出院时及术后1、3、6和12个月的疼痛数字量表(NRS)评分、面部麻木程度巴罗神经学研究所(BNI)分级及并发症。结果2组间各时间点NRS评分差异无统计学意义(P均>0.05)。出院时及术后1个月,A组患者面部麻木程度BNI分级均低于B组(P均<0.05)。2组间口腔溃疡、咀嚼肌肌力减退、眼部症状、温度觉敏化及耳鸣发生率差异均无统计学意义(P均>0.05)。结论C臂X线机引导下低温等离子消融与射频热凝术对缓解TN患者疼痛效果相仿,而降低术后短期面部麻木程度效果更好。
Objective To observe the efficacy and safety of plasma coblation for treatment of trigeminal neuralgia(TN).Methods Totally 127 patients of TN(the second and third branches of the trigeminal nerve)were retrospectively reviewed.Among them,72 cases received plasma coblation guided by C-arm X-ray machine(group A),while 55 cases underwent radiofrequency thermocoagulation guided by C-arm X-ray machine(group B).Numerical rating scale(NRS)scores,the degrees of facial numbness of Barrow Neurological Institute(BNI)level and other complications were evaluated preoperation,at discharge and 1,3,6,12 months after operation.Results There was no significant difference of NRS scores between 2 groups at all time points(all P>0.05).The BNI grade of facial numbness in group A was lower than that in group B at discharge and 1 month after operation(both P<0.05).There was no significant difference of the incidence of oral ulcer,masticatory weakness,eye symptoms,hypoesthesia of temperature nor tinnitus between 2 groups(all P>0.05).Conclusion C-arm X-ray machine-guided plasma coblation had similar effect on pain relief in TN patients compared with radiofrequency thermocoagulation,but was better for reducing the degree of facial numbness in the short term after operation.
作者
王晨晖
赵睿
杨立强
王琦
唐元章
倪家骧
WANG Chenhui;ZHAO Rui;YANG Liqiang;WANG Qi;TANG Yuanzhang;NI Jiaxiang(Department of Pain, Xuanwu Hospital Capital Medical University, Beijing 100053, China)
出处
《中国介入影像与治疗学》
北大核心
2021年第1期28-31,共4页
Chinese Journal of Interventional Imaging and Therapy
基金
北京市属医院科研培育项目(PX2020033)。
关键词
三叉神经痛
X线
消融
射频热凝术
trigeminal neuralgia
X-ray
ablation
radiofrequency thermocoagulation
