[1]闫如虎,张万高,陈大庆,等.X线引导下经卵圆孔内侧壁进针精准射频消融治疗原发性三叉神经痛 [J].介入放射学杂志,2017,(12):1139-1142.
 YAN Ruhu,ZHANG Wangao,CHEN Daqing,et al.Precise radiofrequency ablation by puncturing through medial wall of oval foramen under fluoroscopic guidance for the treatment of primary trigeminal neuralgia[J].journal interventional radiology,2017,(12):1139-1142.
点击复制

X线引导下经卵圆孔内侧壁进针精准射频消融治疗原发性三叉神经痛

()

PDF下载中关闭

分享到:

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

卷:
期数:
2017年12期
页码:
1139-1142
栏目:
临床研究
出版日期:
2017-12-25

文章信息/Info

Title:
Precise radiofrequency ablation by puncturing through medial wall of oval foramen under fluoroscopic guidance for the treatment of primary trigeminal neuralgia
作者:
闫如虎 张万高 陈大庆 徐允鹏 纵慧敏 丁以锟
Author(s):
YAN Ruhu ZHANG Wangao CHEN Daqing XU Yunpeng ZONG Huiming DING Yikun. 230031 China
Interventional Therapy Center, First Affiliated Hospital of Anhui University of Traditional Chinese Medicine, Hefei, Anhui Province
关键词:
【关键词】 三叉神经痛 射频消融 X线引导
文献标志码:
A
摘要:
【摘要】 目的 探讨X线引导下经卵圆孔内侧壁进针不同深度射频消融(RFA)治疗原发性三叉神经痛的临床应用价值。方法 选择原发性三叉神经痛患者32例,采用X线引导下经卵圆孔内侧壁进针不同深度RFA治疗原发性三叉神经痛的临床资料,观察术中责任神经精确复制率,术前、术后1 d、术后1周和3个月及1年的治愈率。结果 术中第1支精确复制率85.7%(6/7),第2支精确复制率96.4%,第3支精确复制率100%。术后第1天治愈率为87.5%,术后1周治愈率为93.8%,术后3个月治愈率为93.8%,术后1年治愈率为87.5%。结论 X线引导下卵圆孔内侧壁进针,能准确复制责任神经支配区疼痛症状,精准治疗三叉神经痛,具有微创、安全、疗效确切等优点,值得推广。

参考文献/References:

[1] 韩济生. 疼痛学[M]. 北京: 北京大学医学出版社, 2012: 440-457.
[2] 吴承远, 刘玉光. 三叉神经痛[M]. 第 2 版, 济南: 山东科学技术出版社, 2008: 141-150.
[3] 周煦燕, 黄 冰, 姚 明, 等. CT 引导下半月节射频热凝治疗顽固性三叉神经痛[J]. 中国微创外科杂志, 2011, 11: 953-955.
[4] 闫宪磊, 黄河清, 郑捷敏. 微血管减压术治疗原发性三叉神经痛69例报告[J]. 中华神经外科疾病研究杂志, 2013, 12:171-172.
[5] 赵海军, 孙 瑜, 张春国, 等. 局麻下三叉神经半月节射频热凝术中靶患支的测定观察[J]. 中国疼痛医学杂志, 2016, 22: 383-385.
[6] McLeod NM, Patton DW. Peripheral alcohol injections in the management of trigeminal neuralgia[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2007, 104: 12-17.
[7] Harries AM, Mitchell RD. Percutaneous glycerol rhizotomy for trigeminal neuralgia: safety and efficacy of repeat procedures[J].Br J Neurosurg, 2011, 25: 268-272.
[8] 周煦燕, 黄 冰, 姚 明, 等. CT引导下半月节射频热凝治疗顽固性三叉神经痛[J]. 中国微创外科杂志, 2011, 11: 953-955.
[9] 刘靖芷, 郑宝森, 王 君, 等. X线和神经刺激器双引导经卵圆孔半月神经节周围注射阿霉素治疗三叉神经痛的效果[J]. 中华麻醉学杂志, 2010, 30: 327-330.
[10] 高 宇, 杨庆红, 梅敦成, 等. 射频热凝联合阿霉素治疗原发性三叉神经痛[J]. 中国疼痛医学杂志, 2010, 16: 9-12.
[11] Udupi BP, Chouhan RS, Dash HH. Comparative evaluation of percutaneous retrogasserian glycerol rhizolysis and radiofrequency thermocoagulation techniques in the management of trigeminal neuralgia[J]. Neurosurgery, 2012, 70: 407-412.
[12] 彭 胜, 刘 军, 刘 垒, 等. C 形臂或 CT 靶点定位射频治疗三叉神经痛2816 例研究[J]. 中华神经外科疾病研究杂志, 2014, 13: 59-62.
[13] 陶高见, 林 建, 朱 彤. CT 引导下经眶-圆孔入路射频热凝治疗第2支三叉神经痛[J]. 中国疼痛医学杂志, 2012, 18: 264-268.
[14] 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, 25: 686-688.

相似文献/References:

[1]蒲红.上海市第二届射频消融疑难病例研讨会纪要[J].介入放射学杂志,1997,(01):63.
[2]蒲红,尹炯,王咏梅,等.显性间隔房室旁路的射频消融[J].介入放射学杂志,1997,(02):104.
[3]罗荣光,黄金华.肿瘤射频消融:电极的类型和消融灶的特点[J].介入放射学杂志,2011,(02):159.
 LUO Rong-guang,HUANG Jin-hua..Radiofrequency ablation of tumors: the relationship between the electrode type and the feature of ablated zone[J].journal interventional radiology,2011,(12):159.
[4]程洪涛,郭晨阳,黎海亮,等.TACE联合射频消融治疗原发性肝癌疗效的影响因素分析[J].介入放射学杂志,2012,(03):216.
 ,,et al.TACE combined with CTguided percutaneous radiofrequency ablation for the treatment of primary hepatocellular carcinomas: an analysis of factors affecting the therapeutic result [J].journal interventional radiology,2012,(12):216.
[5]姚红响,陈根生,诸葛英,等.肝动脉化疗栓塞联合CT引导射频消融序贯治疗中小肝癌的临床应用[J].介入放射学杂志,2012,(04):301.
 ,,et al.Sequential treatment with TACE and CTguided RFA for small and moderate sized HCC [J].journal interventional radiology,2012,(12):301.
[6]帕哈尔丁·白克热,杨树法,黄伍奎,等.肝动脉化疗栓塞联合射频消融术治疗30例原发性大肝癌的疗效评价[J].介入放射学杂志,2012,(04):322.
 ,,et al.TACE combined with radiofrequency ablation for massive primary hepatocellular carcinomas: a clinical therapeutic evaluation [J].journal interventional radiology,2012,(12):322.
[7]朱先海,吕维富,鲁 东,等.超选择性肾动脉栓塞术联合射频消融治疗肾癌的临床应用[J].介入放射学杂志,2011,(07):541.
 ZHU Xian-hai,LV Wei-fu,LU Dong,et al.Superselective renal artery embolization combined with radiofrequency ablation for the treatment of renal carcinomas: evaluation of clinical results[J].journal interventional radiology,2011,(12):541.
[8]谢小西,吕银祥,章宏欣,等. 肝动脉化疗栓塞、射频消融联合125Ⅰ粒子植入 治疗原发性肝癌的临床应用[J].介入放射学杂志,2011,(11):863.
 XIE Xiao-xi,LV Yin-xiang,ZHANG Hong-xin,et al.The clinical application of TACE together with RFA and 125Ⅰ seed implantation in treating hepatocellular carcinoma[J].journal interventional radiology,2011,(12):863.
[9]李建军,郑加生,崔雄伟,等. 肝肿瘤CT引导经皮射频消融术后胆道并发症防治[J].介入放射学杂志,2011,(12):984.
 LI Jian-jun,ZHENG Jia-sheng,CUI Xiong-wei,et al.The prevention and treatment of biliary complications occurred after CT-guided percutaneous radiofrequency ablation for hepatic neoplasms[J].journal interventional radiology,2011,(12):984.
[10]陈万海,朱晓黎.射频消融联合无水乙醇注射在兔肝脏中的实验研究[J].介入放射学杂志,2012,(12):1015.
 CHEN Wan? hai,ZHU Xiao? li.. Combined use of radiofrequency ablation and percutaneous ethanol injection for liver tissue: an in vivo experimental study in rabbits[J].journal interventional radiology,2012,(12):1015.

备注/Memo

备注/Memo:
(收稿日期:2017-01-27)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2017-12-24