计算机断层扫描导航射频消融术治疗梅杰综合征：治疗领域的变革者。

Computed tomography navigation radiofrequency ablation for Meige's syndrome: A game-changer in treatment.

作者信息

Li Xue, Ma Ying, Lin Huidan, Du Xindan, Zhao Xian, Zhou Qinghe, Huang Hao, Yao Ming, Huang Bing

机构信息

Pain Management Centre, Department of Anesthesiology, The Scond Affiliated Hospital of Zhejiang University School of Medicine, HangZhou, Zhejiang province, 310000, China.

Department of Pain Medicine, The Affiliated Hospital of Jiaxing University, Jiaxing, Zhejiang province, 314000, China; Postgraduate School of Bengbu Medical College, Bengbu, Anhui Province, 233030, China.

出版信息

Asian J Surg. 2024 Sep 14. doi: 10.1016/j.asjsur.2024.09.042.

DOI:10.1016/j.asjsur.2024.09.042

PMID:39277463

Abstract

BACKGROUND

Meige's syndrome severely impacts quality of life. Current treatments struggle to balance cost, risk, and effectiveness.

METHODS

Patients with blepharospasm were treated with facial nerves partial radiofrequency ablation guided by CT. Treatment efficacy, complications, and recurrences were evaluated during follow-up.

RESULTS

116 facial nerves in 58 patients with Meige's syndrome were treated using CT guidance. The average temperature at the end of radiofrequency treatment was 77.93 ± 9.8 °C, and the procedure lasted an average of 30.79 ± 7.69 min. Spasms stopped after treatment, but mild facial paralysis remained. Follow-ups ranging from 12 to 57 months showed that facial paralysis improved in an average of 3.12 ± 0.94 months. Nine patients had unilateral recurrence within 6-13 months, and three had bilateral recurrence at 14, 18, and 22 months.

CONCLUSIONS

Partial radiofrequency ablation of the facial nerve through percutaneous access to the bilateral stylomastoid foramen using CT navigation is an effective, safe, promising treatment for blepharospasm in Meige's syndrome patients.

摘要

背景

梅杰综合征严重影响生活质量。目前的治疗方法难以在成本、风险和疗效之间取得平衡。

方法

对睑痉挛患者采用CT引导下的面神经部分射频消融术进行治疗。随访期间评估治疗效果、并发症及复发情况。

结果

对58例梅杰综合征患者的116条面神经采用CT引导进行治疗。射频治疗结束时的平均温度为77.93±9.8℃，手术平均持续30.79±7.69分钟。治疗后痉挛停止，但仍遗留轻度面瘫。12至57个月的随访显示，面瘫平均在3.12±0.94个月内有所改善。9例患者在6至13个月内出现单侧复发，3例患者在14、18和22个月时出现双侧复发。