Different modes CT-guided low temperature plasma ablation for treating middle-aged and elderly trigeminal neuralgia
10.13929/j.1672-8475.201907036
- Author:
Rui ZHAO
1
Author Information
1. Department of Pain, Xuanwu Hospital Capital Medical University
- Publication Type:Journal Article
- Keywords:
Catheter ablation;
Tomography, X-ray computed;
Trigeminal neuralgia
- From:
Chinese Journal of Interventional Imaging and Therapy
2019;16(12):713-716
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To explore the effects of different modes of CT-guided percutaneous low temperature plasma ablation of trigeminal ganglion for treating middle-aged and elderly patients with idiopathic trigeminal neuralgia (ITN). Methods: Totally 60 ITN patients (>50 years old) were included and randomly divided into group A or B (each n=30).All patients underwent percutaneous low temperature plasma ablation of trigeminal ganglion, in group A with timing mode, in group B with fixed effect mode. Numerical rating scale (NRS) of patients in 2 groups were recorded pre-operation and 1 day, 7 days, 1 month and 6 months after treatment. The rank of facial numbness and complications were counted 6 months after treatment. Results: All patients were successfully operated.NRS at all postoperative time points were less than that pre-operation (all P<0.05), while 1 month and 6 months after operation in group A was higher than in group B (both P<0.05). Six months after operation, the rank of facial numbness in group A ([1.03±0.62] grade) was lower than that in group B ([2.00±0.79] grade, P<0.05).The main complications included oral ulcers, degenerated muscle strength, temperature sense sensitization, temporomandibular joint disorder, tinnitus, facial hypoesthesia and ocular signs, not significantly different between 2 groups (all P>0.05). Conclusion: Both timing mode and fixed effect mode of CT-guided percutaneous low temperature plasma ablation of trigeminal ganglion for treating middle-aged and elderly ITN patients have good effects, and postoperative facial numbness are mild.
