Double targets percutaneous radiofrequency thermocoagulation in treatment of primary trigeminal neuralgia
10.3760/cma.j.issn.1671-8925.2017.05.013
- VernacularTitle:双靶点半月节射频热凝术治疗原发性三叉神经痛的疗效分析
- Author:
Jingzhi LIN
1
;
Yang ZHANG
;
Ruoyu PENG
;
Guoxuan LUO
;
Weishi LUO
;
Mo WANG
;
Minghua ZHU
;
Xiaohui SUN
;
Yong ZHANG
Author Information
1. 广东省第二人民医院神经外科
- Keywords:
Double target;
Radiofrequency thermocoagulation;
Trigeminal neuralgia
- From:
Chinese Journal of Neuromedicine
2017;16(5):508-512
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the curative effect of double targets percutaneous radiotfrequency thermocoagulation (PRT) on primary trigeminal neuralgia (PTN) and its safety.Methods Sixty patients with PTN were randomly divided into single target treatment group and double targets treatment group.CT guided stereotactic location was used to navigate PRT;patients in the single target treatment group only accepted one target damage and those in the double targets treatment group accepted target damage with 3 mm of deep and shallow interval.The curative effects and complications were compared one week,3 months,one and 2 years after the surgery.Results The percentage of patients with good curative effect in double targets treatment group was significantly higher than that in single target treatment group one and 2 years after surgery,with statistically significant difference (86.7％ vs.60％,70％ vs.45％,P＜0.05).Recurrence rates of double targets treatment group 3 months,one and 2 years after surgery were 0％,3.3％ and 6.7％,which were lower than those in single target treatment group (3.3％,10％ and 16.7％),without significant difference (P＞0.05).Ipsilateralfacial hypaesthesia of different degrees appeared in both groups,but complications as keratohelcosis,diplopia,chewing weakness or difficulty in opening mouth did not appear.And the degree of facial numbness in double targets treatment group was a little higher than that in single target treatment group without statistical significance (P＞0.05).Conclusion Double targets PRT used in PTN treatment can obviously improve the postoperative pain relief and do not apparently increase the degree of postoperative facial numbness as compared with single target PRT.
