【摘要】：目的觀察局麻下較低的不同溫度射頻熱凝術(RFT)治療三叉神經(jīng)痛(TN)的有效性、復發(fā)率、并發(fā)癥及患者生活質量情況。方法選取2013年1月至2015年12月就診于中國醫(yī)科大學附屬盛京醫(yī)院疼痛科的原發(fā)性TN患者600例,在CT引導、局麻下行RFT治療,溫度分別為65℃(A組)、70℃(B組)、75℃(C組)。觀察術中并發(fā)癥及術后3年內疼痛緩解、復發(fā)率、并發(fā)癥及患者生活質量情況。結果手術均順利完成。B組與C組的疼痛緩解率及復發(fā)率無差異,且優(yōu)于A組。并發(fā)癥方面,A組最少,B組次之,C組并發(fā)癥最多,恢復時間最長。B組患者生活質量滿意度最高。結論 65℃和75℃RFT均可以有效緩解TN,并發(fā)癥隨著溫度的升高而增加。但是70℃與75℃RFT的疼痛緩解率及復發(fā)率一致,并發(fā)癥70℃RFT少于75℃RFT,因此建議選擇70℃以下溫度RFT治療原發(fā)性TN。
[Abstract]:Objective to observe the efficacy, recurrence rate, complication and quality of life of patients with trigeminal neuralgia treated with low temperature radiofrequency thermocoagulation (RFT) under local anesthesia. Methods from January 2013 to December 2015, 600 patients with primary TN were enrolled in the Department of pain, Shengjing Hospital affiliated to China Medical University. They were treated with RFT under CT guidance and local anesthesia. The temperature was 65 鈩，

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