中国全科医学2016，Vol.19Issue(12)：1375-1378,4.DOI:10.3969/j.issn.1007-9572.2016.12.004
CT 引导下蝶腭神经节射频热凝术治疗蝶腭神经痛的长期疗效及安全性分析
Long - term Efficacy and Safety of CT Guided Sphenopalatine Ganglion Radiofrequency Thermocoagulation in the Treatment of Sphenopalatine Neuralgia
摘要
Abstract
Objective To investigate the long - term efficacy and safety of CT guided sphenopalatine ganglion radiofrequency thermocoagulation in the treatment of sphenopalatine neuralgia( SPN). Methods The study enrolled 8 SPN patients who received CT guided sphenopalatine ganglion radiofrequency thermocoagulation in the Department of Pain Management,Xuanwu Hospital Capital Medical University from October 2005 to May 2014. Telephone follow - up was conducted on patients from October 2005 to December 2015,lasting for 19 - 122 months with(55. 4 ± 12. 8)months on average. NRS and VAS of patients before surgery were recorded,and NRS,VAS and pain relief status were recorded 3 days,1 month,3 months, 6 months,1 year,2 years,3 years,5 years,7 years and 10 years after surgery,and postoperative reactions were observed (including visual impairment,facial hematoma,intracranial infection,postural hypotension and syncope). Results The 3 days pain relief rate was 100. 0% after surgery. All the patients completed follow - up,and 1 month,3 months,6 months,1 year,3 years,5 years,7 years and 10 years pain relief rates were all 100. 0% after surgery;2 years pain relief rate was 87. 5%after surgery;one(12. 5% )patient who had relapse 16 months after surgery had pain controlled after the oral administration of tramadol hydrochloride sustained - release tablets and prepared to take CT guided sphenopalatine ganglion radiofrequency thermocoagulation again. Before surgery,the NRS and VAS of the 8 patients were(8. 4 ± 1. 4)and 0;3 days after surgery,the NRS and VAS of the 8 patients were(0. 3 ± 0. 7)and(2. 6 ± 5. 6);1 month,3 months,6 months and 12 months after surgery,the VAS was(1. 5 ± 1. 3),(1. 1 ± 1. 1),(0. 5 ± 0. 9) and 0 respectively and the NRS was all 0;2 years after surgery,the NRS and VAS of 6 patients were both 0;3 years and 5 years after surgery,the NRS of 4 patients was 0 and(0. 5 ± 1. 0 )respectively,and VAS was all 0;7 years after surgery,NRS and VAS of 2 patients were both 0;10 years after surgery,the NRS and VAS of 1 patient were 2 and 0 respectively. After surgery,patients did not have serve adverse reactions, such as visual impairment,facial hematoma,intracranial infection,postural hypotension and syncope. Conclusion CT guided sphenopalatine ganglion radiofrequency thermocoagulation for SPN can make pain relief which lasts for a long time,thus it is a safe and effective mini - invasive therapy.关键词
面神经痛/体层摄影术,螺旋计算机/射频热凝术/治疗结果Key words
Facial neuralgia/Tomography, spiral computed/Radiofrequency thermocoagulation/Treatment outcome分类
医药卫生引用本文复制引用
李娜,郭玉娜,秦红军,贾绍芳,左欣鹭,杨惠婕,倪家骧..CT 引导下蝶腭神经节射频热凝术治疗蝶腭神经痛的长期疗效及安全性分析[J].中国全科医学,2016,19(12):1375-1378,4.基金项目
北京市医院管理局医学发展专项---“扬帆”计划 （）
