中国全科医学2016，Vol.19Issue(12)：1379-1382,4.DOI:10.3969/j.issn.1007-9572.2016.12.005
CT 引导下射频热凝术治疗舌咽神经痛的长期疗效分析
Long - term Efficacy of Computed Tomography - guided Percutaneous Radiofrequency Thermocoagulation for Glossopharyngeal Neuralgia
摘要
Abstract
Objective To observe the long - term efficacy and adverse reactions of computed tomography( CT) -guided percutaneous radiofrequency thermocoagulation(PRT)in the treatment of glossopharyngeal neuralgia(GPN). Methods The study enrolled 80 GNP patients who received treatment and underwent CT - guided PRT in the Department of Pain Management,Xuanwu Hospital Capital Medical University from January 2003 to December 2014. The status of pain remission of the patients after surgery was observed,and pain relief rates and adverse reactions(including paresthesia in the root of tongue and pharynx,dysphagia,decreased gag reflex,cranial nerve damage and death )were recorded 3 months,6 months,1 year,3 years,5 years and 10 years after surgery. Results Among the 80 patients,63 (78. 8% ) had pain relief,and other 17 (21. 2% )had decrease in pain and used antiepileptic drug to control pain. The 3 months,6 months,1 year,3 years,5 years and 10 years relief rates were 77. 5% ,75. 0% ,73. 2% ,63. 0% ,53. 2% and 43. 0% respectively. Paresthesia in the root of tongue and pharynx occurred in 11(13. 8% )patients,among which 8 patients saw the paresthesia disappear(25. 3 ± 12. 6) weeks later and the rest 3 patients saw the paresthesia persistently exist but have slight influence on life. Dysphagia occurred in 5 (6. 3% )patients and decreased gag reflex occurred in 2(2. 5% )patients. The above two symptoms disappeared 2 weeks after surgery. No patients had cranial nerve damage or death. Conclusion CT - guided PRT provides favorable long - term efficacy in the treatment of GPN and causes no serious adverse reactions,which is worth clinical application.关键词
舌咽神经疾病/射频热凝术/体层摄影术,螺旋计算机/治疗结果Key words
Glossopharyngeal nerve diseases/Radiofrequency thermocoagulation/Tomography,spiral computed/Treatment outcome分类
医药卫生引用本文复制引用
王小平,左欣鹭,曾塬杰,倪家骧..CT 引导下射频热凝术治疗舌咽神经痛的长期疗效分析[J].中国全科医学,2016,19(12):1379-1382,4.基金项目
北京市医院管理局临床医学发展专项经费资助项目 （）
