CT引导下三叉神经周围支射频热凝术联合阿霉素介入治疗原发性三叉神经痛

目的 探讨CT引导下三叉神经周围支射频热凝联合阿霉素介入治疗原发性三叉神经痛的疗效及安全性。方法 对2015年1月至2017年12月应用CT引导下三叉神经周围支射频术联合阿霉素介入治疗的103例原发性三叉神经痛的临床资料进行回顾性分析。采用视觉模拟量表（VAS）评分评估疼痛强度:０分，无痛；1~3分，轻度疼痛；4~6分，中度疼痛；7~10分，重度疼痛。以VAS评分降低作为疗效评价标准:优，降低≥75%；良，降低50%~74%；差，降低<50%。结果 103例中，疗效优97 例，良3例，差3例；优良率为97%。术后无严重并发症发生。结论 CT引导下三叉神经周围支射频术联合阿霉素介入治疗原发性三叉神经痛止痛效果好，安全性高。

Interventional treatment of idiopathic trigeminal neuralgia with radiofrequency thermocoagulation combined with adriamycin under CT guidance

Objective To assess the effect of interventional treatment with radiofrequency thermocoagulation of trigeminal nerve peripheral branches (TNPB) combined with adriamycin under CT guidance on idiopathic trigeminal neuralgia (ITN) and its security. Methods The clinical data of 103 patients with ITN, who were treated by radiofrequency thermocoagulation of TNPB combined with adriamycin in our hospital from January, 2015 to December, 2017, were analyzed retrospectively in order to understand the curative effect, postoperative recurrence rate and complications. Results Of the 103 patients with ITN, 97 (94.17%) received excellent effect, 3(2.91%) good and 3 (2.91%) bad after the treatment. The recurrence rates 1 and 2 years after the treatment were 8.74% (9/103) and 10.68% (11/103) respectively. There were no serious complications in all the patients. Conclusions The interventional treatment of INT with radiofrequency thermocoagulation of TNPB combined with adriamycin under CT guidance, which has a good analgesic effect, a low recurrence rate and a high security, is worthy of clinical spread.