射频温控热凝术治疗原发性三叉神经痛152例分析

目的：评价射频温控热凝术(RFT)治疗原发性三叉神经痛的临床疗效，探讨手术并发症的处理方法。方法：对2001年7月至2004年7月就诊于我院的152例原发性三叉神经痛患者进行RFT治疗，对手术有效率、并发症的发生率等临床资料进行统计学分析。结果：152例原发性三叉神经痛患者男女之比为1：1．3，平均年龄48．9岁，RFT治疗有效率为94．1％，无效率为2．6％。患者放弃治疗或改用其他治疗方法者占3．3％，并发症的发生率为15．8％。结论：RFT治疗原发性三叉神经痛有效率高。可以部分地保留触觉。严重并发症及死亡率较低。初次治疗复发者仍可重复进行,是一种行之有效的方法。

Treatment of primary trigeminal neuralgia with radiofrequency thermogangliocoagulation:Report of 152 consecutive cases

PURPOSE: To evaluate the clinical results of primary trigeminal neuralgia treated by RFT and investigate the methods to manage complications. METHODS: 152 cases of primary trigeminal neuralgia were collected from 2001 to 2004, a retrospective study was undertaken to analyze the clinical characters such as effective rate, ineffective rate and the rate of complications of patients treated with RFT. RESULTS: The average age of the 152 cases was 48.9 years old, the rate of male to female was 1:1.3. The effective rate of primary trigeminal neuralgia treated with RFT was 94.1%, the ineffective rate was 2.6%;another 3.3% cases gave up or altered to other methods, the rate of complications was 15.8%. CONCLUSIONS: RFT is an effective method to treat primary trigeminal neuralgia with few severe complications and low mortality rate, which can save the sense of touch partly. Recurrent cases can be retreated with RFT.