射频温控热凝术治疗三叉神经痛428例的体会

目的　阐述射频温控热凝术治疗三叉神经痛的方法及适应证。方法　用穿刺针经皮穿刺达卵圆孔内三叉神经根处 ,连接射频温控热凝仪及相配套电极作控温加热至 80～ 85°C,损害三叉神经相关感觉支。结果　总有效率 98.5 9% ,无效 1.40 % ,复发率 12 .0 7%。结论　射频温控热凝术治疗三叉神经痛安全 ,适应证广 ,效果显著 ,特别对伴有心血管疾病的三叉神经痛患者 ,该方法是安全的

EVALUATION OF RADIOFREQUENCY THERMOCOAGULATION FOR TREATMENT OF TRIGEMINAL NEURALGIA WITH CLINICAL REPORTS OF 428 CASES

Objective To survey the therapeutic effect of Radiofrequency thermocoagulation for treatment of trigeminal neuralgia, further expound methods and indication of Radiofrequency thermocoagulation in the treatment of trigeminal neuralgia.Methods To puncture the skin, the needle reaches the root of trigeminal nerve through ovale foramen and link up with instrument of Radiofrequency thermocoagulation and his accessorial electrode, to heat temperature of anode to 80 85°C under control, and damage to interrelating sensory nerve of trigeminal nerve.Results The total effective rate was 98.59%. The ineffective rate was 1.40%. The recurrence rate was 12.07%.Conclusion Radiofrequency thermocoagulation for treatment of trigeminal neuralgia is safe, wide indication, markedly effective, the method showed that it is particularly safe to the patients with angiocardiopathy.