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外周酒精注射治疗三叉神经痛

Peripheral alcohol injections in the management of trigeminal neuralgia.

作者信息

McLeod Niall M H, Patton D W

机构信息

Oral and Maxillofacial Surgery, Southampton General Hospital, Southampton, United Kingdom.

出版信息

Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007 Jul;104(1):12-7. doi: 10.1016/j.tripleo.2007.01.001. Epub 2007 Apr 11.

DOI:10.1016/j.tripleo.2007.01.001
PMID:17428701
Abstract

OBJECTIVE

To assess the effectiveness of peripheral alcohol injections in the management of trigeminal neuralgia.

STUDY DESIGN

Retrospective case audit of patients who received peripheral alcohol injections in 1994-1999 was conducted. We examined for occurrence and duration of effect of alcohol blocks, the effect of age and repeated administration, and the effect of their use on other surgical treatments.

RESULTS

Peripheral alcohol injections lasted for a mean of 11 months. Their effectiveness and complication rates were not affected by age or repeated administration. Their use did not affect, nor was their effectiveness affected by, the use of other surgical treatments.

CONCLUSION

Peripheral alcohol injections continue to have a role in the management of trigeminal neuralgia. They are particularly useful in those refractory to medical management and in those who are unable or unwilling to undergo neurosurgical treatment. Peripheral alcohol injections also have a role in those awaiting neurosurgical opinions or treatment.

摘要

目的

评估外周酒精注射治疗三叉神经痛的有效性。

研究设计

对1994年至1999年接受外周酒精注射的患者进行回顾性病例审核。我们研究了酒精阻滞的发生情况和持续时间、年龄及重复注射的影响,以及其使用对其他外科治疗的影响。

结果

外周酒精注射平均持续11个月。其有效性和并发症发生率不受年龄或重复注射的影响。其使用不影响其他外科治疗的使用,也不受其他外科治疗使用的影响。

结论

外周酒精注射在三叉神经痛的治疗中仍有作用。它们对药物治疗无效以及无法或不愿接受神经外科治疗的患者特别有用。外周酒精注射在等待神经外科会诊或治疗的患者中也有作用。

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