神经导航经皮半月神经节射频热凝术治疗三叉神经痛：我的操作方法。
Neuronavigated percutaneous gasserian radiofrequency thermorhizotomy for trigeminal neuralgia: how I do it.
机构信息
Functional Neurosurgery Unit, Department of Neurosurgery, Fondazione IRCCS Istituto Neurologico Carlo Besta, Via Celoria 11, 20133, Milan, Italy.
Neurointensive Care Unit, Department of Neurosurgery, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
出版信息
Acta Neurochir (Wien). 2024 Jun 4;166(1):247. doi: 10.1007/s00701-024-06147-2.
BACKGROUND
Radiofrequency thermorhizotomy (TRZ) is an established treatment for trigeminal neuralgia (TN). TRZ can result risky and painful in a consistent subset of patients, due to the need to perform multiple trajectories, before a successful foramen ovale cannulation. Moreover, intraoperative x-rays are required.
METHOD
TRZ has been performed by using a neuronavigated stylet, before trajectory planning on a dedicated workstation.
CONCLUSION
Navigated-TRZ (N-TRZ) meets the expectations of a safer and more tolerable procedure due to the use of a single trajectory, avoiding critical structures. Moreover, N-TRZ is x-ray free. Efficacy outcomes are similar to those reported in literature.
背景
射频热凝术（TRZ）是治疗三叉神经痛（TN）的一种成熟方法。由于需要进行多次轨迹操作，才能成功穿刺卵圆孔，因此对于一部分患者来说，TRZ 具有一定的风险和痛苦。此外，还需要在手术过程中进行 X 射线检查。
方法
TRZ 是在专用工作站上进行轨迹规划之前，使用神经导航引导的导针进行的。
结论
由于使用了单次轨迹，避免了对关键结构的损伤，因此导航辅助 TRZ（N-TRZ）符合更安全、更耐受的手术要求。此外，N-TRZ 是无 X 射线的。疗效结果与文献报道的相似。
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