[三叉神经痛的选择性射频热凝术]
[Selective radiofrequency thermocoagulation for trigeminal neuralgia].
作者信息
Liu Yu-guang, Wang Hong-wei, Xu Shu-jun, Yang Yang, Zhang Liang-wen, Wu Cheng-yuan
机构信息
Department of Neurosurgery, Qilu Hospital of Shandong University, Jinan 250012, China.
出版信息
Zhonghua Yi Xue Za Zhi. 2010 Aug 3;90(29):2059-61.
OBJECTIVE
To study the technique and experience of selective radiofrequency thermocoagulation (SRFTC) for trigeminal neuralgia (TN) and the application of neuronavigation in SRFTC for TN.
METHODS
SRFTC was performed in 3269 TN patients and neuronavigation-assisted SRFTC in 36 of them. Follow-up was carried out for over 2 years in 1722 cases.
RESULTS
An excellent efficacy was achieved in 2590 cases, a fair outcome in 548 cases and no response in 131 cases. The recurrence rates at one and two years were 10.5% and 25.0% respectively. The efficacy was excellent in all cases treated by neuronavigation-assisted SRFTC. The effective rate was 96%. Neither serious complication nor death occurred in this series.
CONCLUSION
SRFTC for TN is both safe and effective. And the neuronavigation technique can not only increase the surgical efficacy of SRFTCP for TN but also decrease the surgical risks.
目的
探讨三叉神经痛（TN）选择性射频热凝术（SRFTC）的技术及经验，以及神经导航在TN的SRFTC中的应用。
方法
对3269例TN患者实施SRFTC，其中36例采用神经导航辅助SRFTC。对1722例患者进行了2年以上的随访。
结果
2590例疗效极佳，548例效果尚可，131例无效。1年和2年的复发率分别为10.5%和25.0%。神经导航辅助SRFTC治疗的所有病例疗效均极佳。有效率为96%。本系列未发生严重并发症及死亡。
结论
TN的SRFTC安全有效。神经导航技术不仅可提高TN的SRFTCP手术疗效，还可降低手术风险。
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