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[经皮选择性热凝半月神经节治疗原发性三叉神经痛的疗效观察]

[Effective treatment of essential trigeminal neuralgia using percutaneous selective heat coagulation of Gasser's ganglion].

作者信息

Sanders M

机构信息

Spaarne Ziekenhuis, afd. Anesthesiologie, Haarlem.

出版信息

Ned Tijdschr Geneeskd. 1990 Nov 3;134(44):2134-7.

PMID:2247170
Abstract

Trigeminal neuralgia may be treated in several ways. In the present study the efficacy of a selective percutaneous radiofrequency neurolysis in the gasserian ganglion was evaluated in 172 patients. A complete result was seen in 96.5% of the patients. The recurrence rate within 2 years amounted to 28.3%. Forty-seven patients underwent several treatments with a maximum of four within this period of time. The recurrence rate in the entire study population after 2 years was 8.1%. The mean follow-up period was 50 months (range 9-90 months). Except for the occurrence of corneal anaesthesia in 4% of the patients no serious complications were encountered.

摘要

三叉神经痛可有多种治疗方法。在本研究中,对172例患者评估了经皮选择性射频热凝半月神经节的疗效。96.5%的患者获得了完全缓解。2年内的复发率为28.3%。47例患者在此期间接受了多次治疗,最多4次。整个研究人群2年后的复发率为8.1%。平均随访期为50个月(范围9 - 90个月)。除4%的患者出现角膜麻醉外,未出现严重并发症。

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