CT引导下蝶腭神经节低温等离子消融术治疗蝶腭神经痛

目的观察CT引导下蝶腭神经节低温等离子消融术治疗蝶腭神经痛的有效性及安全性。方法对37例蝶腭神经痛患者行CT引导下蝶腭神经节低温等离子消融术,记录术后24 h、7天、1个月、3个月、6个月时疼痛视觉模拟量表(VAS)评分及数字量表(NRS)评分,评价治疗效果,并计算术后面部麻木发生率,观察术后不良反应发生情况。结果术后24 h、7天、1个月、3个月、6个月时,VAS评分均较术前显著降低(P均0.01),治疗有效率分别为89.19%(33/37)、97.30%(36/37)、100%(37/37)、100%(37/37)及100%(37/37),术后面部麻木发生率分别为67.57%(25/37)、54.05%(20/37)、29.73%(11/37)、8.11%(3/37)及5.41%(2/37),未见重度麻木者。术后24 h,18例(18/37,48.65%)出现面部血肿,3例(3/37,8.11%)发生体位性低血压,经对症处理后均于72 h内缓解;未发生其他不良反应。结论 CT引导下蝶腭神经节低温等离子消融术治疗蝶腭神经痛安全有效。

CT-guided low temperature plasma coblation of sphenopalatine ganglion for treating sphenopalatine neuralgia

Objective To evaluate the efficacy and safety of CT-guided low temperature plasma coblation of sphenopalatine ganglion for treating sphenopalatine neuralgia. Methods Totally 37 patients with sphenopalatine neuralgia underwent CT-guided low temperature plasma coblation of sphenopalatine ganglion. Visual analogue scale (VAS) and numerical rating scale (NRS) were obtained at 24 hours, 7 days, 1 month, 3 months and 6 months after operation. The efficacy and postoperative incidence of facial numbness were evaluated and calculated,and the postoperative adverse reactions were recorded. Results VAS scores significantly decreased 24 hours, 7 days, 1 month, 3 months and 6 months after operation (all P<0.01). The effective rate of coblation 24 hours, 7 days, 1 month, 3 months and 6 months after operation was 89.19% (33/37), 97.30% (36/37), 100% (37/37), 100% (37/37) and 100% (37/37), respectively, and the incidence of facial numbness was 67.57% (25/37), 54.05% (20/37), 29.73% (11/37), 8.11% (3/37) and 5.41% (2/37), respectively. No severe numbness was observed. Facial hematoma and postural hypotension were noticed in 18 (18/37, 48.65%) and 3 (3/37, 8.11%) patients 24 hours after operation, respectively. All the symptoms remitted completely within 72 hours after expectant treatment. No other adverse reaction was found. Conclusion CT-guided low temperature plasma coblation is effective and safe for treating sphenopalatine neuralgia.