不同温度射频热凝术治疗三叉神经痛的临床研究进展*

CLINICAL RESEARCH PROGRESS OF DIFFERENT TEMPERATURES USED IN RADIOFREQUENCY THERMOCOAGULATION FOR THE TREATMENT OF TRIGEMINAL NEURALGIA*

摘要:

三叉神经痛是一种临床常见的神经病理性疼痛,以单侧或者双侧面部三叉神经分布区间歇性剧痛为主要临床表现。使用射频热凝术治疗三叉神经痛具有创伤小,疼痛缓解率高、复发率低且术后并发症少等优点,近年来被广泛应用于临床。本综述概述了采用不同温度的三叉神经痛射频热凝术的相关临床研究,讨论温度对手术效果的影响。65℃-75℃是目前治疗的首选温度区间。同时在选择温度时,需根据患者的年龄、疾病特点和对治疗效果的期望等情况具体分析,以提高治疗效果和患者满意度。

Abstract:

Trigeminal neuralgia is a common clinical neuropathic pain, with intermittent severe pain in the unilateral or bilateral trigeminal nerve distribution area as the main clinical manifestation. The use of radiofrequency thermocoagulation for the treatment of trigeminal neuralgia has the advantages of small trauma, high pain relief rate, low recurrence rate and less postoperative complications. It has been widely used in clinical practice in recent years. This review summarizes clinical research of different temperatures used in radiofrequency thermocoagulation for the treatment of trigeminal neuralgia and discusses the effect of temperature on surgical outcomes. Currently,65℃ -75 °C is the preferred temperature range for treatment. What is more, when selecting the temperature, it is necessary to take age, disease characteristics and expectations of treatment effect of each single patient into concern to improve the treatment effect and patient satisfaction.