[1]李东振,赵 岩,辛江波,等.CT引导下栅栏定位器在射频温控热凝术治疗三叉神经痛中的应用[J].介入放射学杂志,2016,(08):686-688.
　LI Dong-zhen,ZHAO Yan,XIN Jiang-bo,et al.Application of fence locator in CT-guided radiofrequency thermal coagulation for trigeminal neuralgia [J].journal interventional radiology,2016,(08):686-688.
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CT引导下栅栏定位器在射频温控热凝术治疗三叉神经痛中的应用 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2016年08期
页码:
686-688
栏目:
非血管介入
出版日期:
2016-08-25

文章信息/Info

Title:
Application of fence locator in CT-guided radiofrequency thermal coagulation for trigeminal neuralgia

作者:
李东振;  赵 岩;  辛江波;  闫 明;  李志军;  胡世民
Author(s):
LI Dong-zhen;  ZHAO Yan;  XIN Jiang-bo;  YAN Ming;  LI Zhi-jun;  HU Shi-min
Department of Oral and Maxillofacial Surgery, Hebei Provincial Eye Hospital, Xingtai, Hebei Province 054001, China
关键词:
【关键词】 三叉神经痛;  射频温控热凝术;  栅栏定位器
文献标志码:
A
摘要:
【摘要】 目的 探讨CT引导下应用栅栏定位器射频温控热凝术（RFT）治疗三叉神经痛的疗效。方法 取仰卧位采用Hartel入路穿刺法,利用双栅栏定位器联合CT半冠位扫描,进行卵圆孔及半月神经节定位穿刺。结果 81例患者卵圆孔穿刺手术成功率为100%,80例（98.8%）疼痛即刻消失,1例无效。术后面部明显麻木80例(98.8%),咀嚼无力2例(2.5%),角膜反射减退3例(3.8%)。均无严重并发症出现。随访时间1~4年,复发6例,复发率为7.5%。 结论 CT引导下应用栅栏定位器使卵圆孔穿刺成功率达100%,治疗三叉神经痛复发率较低,取得了良好的止痛效果,并降低并发症发生率。定位简单易行,值得推广应用。

参考文献/References:

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［3］ 赵 俊, 李树人, 朱文阁. 疼痛诊断治疗学［M］. 第2版, 石家庄: 河北医科大学出版社, 2000: 76.
［4］ Punyani SR, Jasuja VR. Trigeminal neuralgia: an insight into the current treatment modalities［J］. J Oral Biol Craniofac Res, 2012, 2: 188-197.
［5］ 张伟杰, 汪 涌, 陈敏洁. CT定位用于确定射频温控热凝术治疗三叉神经痛的穿刺深度［J］. 上海口腔医学, 2003, 12: 94-95.
［6］ 薛同庆, 杨正强, 丁文彬, 等. X线导引下细针穿刺圆孔射频治疗顽固性上颌神经痛的临床研究［J］. 介入放射学杂志, 2011, 20: 765-768.

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备注/Memo

备注/Memo:
（收稿日期：2015-12-01）
（本文编辑：俞瑞纲）
更新日期/Last Update: 2016-08-23