选择性终末支射频热凝治疗三叉神经痛的临床疗效观察

目的:研究选择性终末支射频热凝治疗三叉神经痛的临床疗效。方法:选择158例原发性三叉神经痛患者,根据发作范围确定支配的终末支,给予射频热凝治疗。结果:158例首次行射频治疗后,有效156例,有效率为98.73％,无效2例(1.27%)。有效的156例中有42例(26.92％)复发。复发后再次射频治疗效果良好。无严重并发症发生。结论:选择性终末支射频热凝治疗三叉神经痛操作安全,治疗效果良好,是一种微创治疗方法,具有较高临床实用价值。

Clinical Curative Effect Observation of Trigeminal Neuralgia Patients Treated with Selective Terminal Branch Radiofrequency Therapy.

Objective: To study the clinical curative effect of treating trigeminal neuralgia patients with selective terminal branch radiofrequency therapy. Methods: 158 cases of primary trigeminal neuralgia patients were chosen and treated with RF (radiofrequency) therapy by determining the dominant Terminal branches according to the attack range. Results: 156 cases respond effectively to the first RF treatment and the effective rate reaches 98.73%. 42 among them have a relapse afterwards but respond well to the second RF treatment. None of these cases suffered from serious complications. Conclusion: It is quite safe to treat trigeminal neuralgia patients with selective terminal branch radiofrequency therapy and the curative effects tend to be satisfactory. As a minimally invasive method, the selective terminal branch radiofrequency therapy proves to have great clinical practical value.