外周神经脉冲射频治疗三叉神经痛是否有效?

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL
Tuba Tanyel, Ayten Bilir, Mehmet Sacit Güleç
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引用次数: 0

摘要

目的:三叉神经痛是一种发生在三叉神经区域的阵发性休克样疼痛。三叉神经痛的治疗方法有多种,如药物治疗、介入治疗和外科手术。脉冲射频(PRF)是一种微创经皮技术,似乎更安全,更容易执行。本回顾性研究旨在评估三叉神经外周分支PRF手术的镇痛效果、疗效持续时间和副作用。方法:回顾性分析2016年至2018年在我院神经科门诊随访的三叉神经痛患者的资料。年龄在18 - 70岁之间,对药物治疗无效或因副作用不能使用药物的患者,采用本研究选择的三叉神经外周支PRF手术治疗。统计资料,临床表现,疼痛强度,疗效持续时间和并发症从他们的档案进行评估。结果:21例接受超声引导下PRF手术的患者纳入研究。术后1月末,患者的平均视觉模拟量表值由9.25±0.63降至1.55±0.88。(p)结论:对于三叉神经外周支阻滞患者,PRF手术是一种安全有效的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Peripheral nerve pulsed radiofrequency for trigeminal neuralgia treatment: Is it an effective method?

Objectives: Trigeminal neuralgia is a paroxysmal and shock-like pain in the trigeminal nerve area. Various treatment options have been used for trigeminal neuralgia such as medical treatment, interventional procedures, and surgical operations. Pulsed radiofrequency (PRF) is a minimally invasive percutaneous technique which seems to be safer and easier to perform. This retrospective study aims to evaluate the analgesic effect, duration of efficacy, and side effects of PRF procedures in the peripheral branches of the trigeminal nerve.

Methods: The data of the patients with trigeminal neuralgia who were followed up in our hospital's algology clinic from 2016 to 2018 were reviewed retrospectively. Patients aged between 18 and 70 who did not respond to medical treatment or could not use medication due to side effects were treated with PRF procedure for peripheral branches of trigeminal nerve that was selected for this study. Demographic profile, clinical presentation, pain intensity, duration of efficacy, and complications were evaluated from their files.

Results: Twenty-one patients who underwent ultrasonography guided PRF procedures were included the study. Mean visual analog scale value of the patients was found to have decreased from 9.25±0.63 to 1.55±0.88 at the end of the 1st month (p<0.001). The painless period for the patients lasted up to 12 (9-21) months and no complications occurred.

Conclusion: PRF procedure seems to be an effective and safe method in patients who respond to block of the peripheral branches of the trigeminal nerve.

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CiteScore
1.00
自引率
16.70%
发文量
22
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