The clinical application value of semiconductor laser combined with flat-panel CT in guiding foramen ovale puncture
10.3969/j.issn.1002-1671.2024.12.026
- VernacularTitle:半导体激光联合平板CT引导卵圆孔穿刺的临床应用价值
- Author:
Tao ZHANG
1
;
Yongqiang XU
;
Qingbo WANG
;
Haitao ZHANG
;
Zefu LI
;
Hailong XING
Author Information
1. 滨州医学院附属医院神经外科,山东 滨州 256603
- Keywords:
semiconductor laser;
flat-panel CT;
radiofrequency ablation;
foramen ovale
- From:
Journal of Practical Radiology
2024;40(12):2046-2049
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical application value of semiconductor laser combined with flat-panel CT guidance in foramen ovale puncture for trigeminal neuralgia(TN).Methods A total of 86 patients with primary TN were selected and randomly divided into control group(n=43)and observation group(n=43).The control group used empirical manual puncture,and the observation group used semiconductor laser combined with flat-panel CT-guided radiofrequency ablation.The first puncture success rate,puncture success time,total operation time,and intraoperative flat-panel CT scan times were carefully evaluated.Results The puncture success time,total operation time,and intraoperative flat-panel CT scan times in the observation group were significantly lower than those in the control group(P＜0.05).In addition,the first puncture success rate and surgical efficiency 12 months after surgery were significantly improved(P＜0.05).The incidence of facial congestion in the observation group was significantly lower than that in the control group(P＜0.05),but there was no statistically significant difference in the incidence of chewing weakness,cerebrospinal fluid leakage,and intracranial infection between the two groups(P＞0.05).Conclusion Minimally invasive foramen ovale puncture under the guidance of semiconductor laser combined with flat-panel CT for the treatment of TN has the advantages of simple operation,accurate positioning,low risk,and few complications,with important clinical application value.
