射频热凝术治疗既往半月神经节后根切断术后复发性三叉神经痛的疗效

Effectiveness of radiofrequency thermocoagulation in recurrent trigeminal neuralgia after previous retrogasserian rhizotomy.

作者信息

Kanpolat Y, Avman N, Gökalp H Z, Arasil E, Selçuki M, Mertol T

出版信息

Appl Neurophysiol. 1985;48(1-6):258-61. doi: 10.1159/000101137.

Abstract

Between 1974 and 1984, 428 trigeminal neuralgia cases were treated by controlled radiofrequency thermocoagulation (RFTC). 29 had recurrent trigeminal neuralgia after intracranial surgery. 26 of the 29 patients were treated by retrogasserian rhizotomy and 3 by posterior fossa exploration. Among the 26 recurrent trigeminal neuralgia following retrogasserian rhizotomy, RFTC was effective in 23 cases (88.5%), and in 3 cases (11.5%) RFTC was effective for a short period. Repeated RFTC was unable to control the pain attacks which were later relieved by posterior fossa exploration and root section. Of the 3 recurrent trigeminal neuralgia following posterior fossa exploration, RFTC was effective in 2 cases (66.6%).

摘要

1974年至1984年间，428例三叉神经痛患者接受了可控射频热凝术（RFTC）治疗。29例患者在颅内手术后出现复发性三叉神经痛。这29例患者中，26例接受了半月节后根切断术治疗，3例接受了后颅窝探查术治疗。在26例半月节后根切断术后复发性三叉神经痛患者中，RFTC治疗有效23例（88.5%），3例（11.5%）RFTC仅短期内有效。重复RFTC无法控制疼痛发作，随后通过后颅窝探查和神经根切断术缓解了疼痛。在3例后颅窝探查术后复发性三叉神经痛患者中，RFTC治疗有效2例（66.6%）。