Journal of Prevention and Treatment for Stomatological Diseases ›› 2016, Vol. 24 ›› Issue (2): 74-78.doi: 10.12016/j.issn.2096-1456.2016.02.002

Special Issue: 11

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Clinical study on trigeminal neuralgia treatment with minimally invasive multipoint radiofrequency thermalcoagulation

Qing-bin ZHANG1(),Li DENG1,Ying ZHANG1,Mo-hong DENG2,Shi-min CHANG3,Xia HE1   

  1. 1Key Laboratory of Oral Medicine, Guangzhou Institute of Oral Disease, Stomatology Hospital of Guangzhou Medical University, Guangzhou 510140, China
  • Received:2015-09-08 Revised:2015-09-30 Online:2016-02-20 Published:2016-02-20
  • Contact: Qing-bin ZHANG E-mail:doctorqingbin@hotmail.com

Abstract:

Objective To observe the clinical efficacy of multipoint radiofrequency thermal coagulation on trigeminal neuralgia management. Methods 180 patients diagnosed as primary trigeminal neuralgia were included in this study. The patients were randomly divided into three groups, 60 patients in treatment group, 60 patients in the first control group and 60 patients in second control group respectively. Multipoint radiofrequency ablation therapy was utilized in the treatment group, radiofrequency thermal coagulation therapy on trigeminal ganglion was applied in the first control group and patients in second control group were treated by nerve block therapy. Then the curative effect of the three groups after the treatment was compared and analyzed. Results To the curative effects, the VAS score showed insignificant difference between treatment group and the first control group (P>0.05), while an significant difference between treatment group and the second control group (P<0.05). To the complications concerned, higher occurrence was found in the first control group. There was no significant difference between the treatment group and the first control group in the recurrence rate (P>0.05). Conclusion The minimally invasive multipoint radiofrequency ablation on the treatment of trigeminal neuralgia has significant effect with fewer complications and higher patients safety.

Key words: Trigeminal neuralgia, Peripheral nerve, Multiple radiofrequency ablation, Minimally invasive, Complications

CLC Number: 

  • R782

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组别 性别 年龄 疼痛侧 术前疼痛程度
(男/女) (岁) (左/右) VAS评分
治疗组 32/28 54±0.5 24/36 8.6±1.2
对照组Ⅰ 22/38 55±0.7 28/32 8.3±1.0
对照组Ⅱ 28/32 53±0.6 26/34 8.5±1.3
F 1.709 1.628 1.866 1.114
P 0.11 0.09 0.08 0.65

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组别 术后疼痛程度VAS评分
术后 1 d 术后3个月 术后6个月 术后12个月 术后24个月
治疗组 0.9±0.3 1.5±0.6 1.3±0.4 1.9±0.4 1.8±0.6
对照组Ⅰ 0.9±0.2 1.6±0.2 1.8±0.6 1.5±0.3 1.6±0.5
对照组Ⅱ 3.2±1.1 3.6±1.5 4.3±1.8 5.2±2.3 5.7±2.8
F 2.104 1.772 1.859 1.422 1.378
P 0.03 0.02 0.03 0.01 0.01
P1 0.08 0.06 0.05 0.06 0.10
P2 0.03 0.02 0.01 0.03 0.03
P3 0.02 0.01 0.03 0.02 0.03
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