X刀治疗三叉神经痛42例临床分析

目的 探讨直线加速器放射外科(X 刀)治疗三叉神经痛的疗效及其并发症.方法 回顾性分析我科收治的42例三叉神经痛患者的临床资料,均采用X刀治疗并随访疼痛缓解情况和并发症.结果 本组治疗效果为治愈14例(33.3%).显效22例(52.4%),有效4例(9.5%),无效2例(4.8%).疼痛缓解出现时间平均在2.1月之后.7例(16.7%)术后出现面部麻木.结论 X刀是一种精确而有效的治疗三叉神经痛的方法.

Clinical analysis of linear accelerator radiosurgery for 42 cases with trigeminal neuralgia

Objective To study the treatment effect of linear accelerator radiosurgery (X knife) on trigeminal neuralgia and the complications. Methods Follow-up was conducted in 42 cases of trigeminal neuralgia treated with linear accelerator radiosurgery in our department, and their complications and degree of pain relief were recorded. Results Outcomes were excellent in 14 (33.3%), good in 22 (52.4%), effective in 4 (9.5%) and poor in 2 (4.8%). The mean time of pain relief was 2.1 months. Seven (16.7%) cases experienced increased facial paresthesia. Conclusion Linear accelerator radiosurgery is a precise and effective treatment for trigeminal neuralgia.