文章摘要
郭强,宋晨,郝建忠,刘宏斌,王诚,董意如,李跃华,林友俊,杨天明,王夕海,游洋.老年人三叉神经痛射频治疗的临床应用[J].中华物理医学与康复杂志,2003,(2):.-
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老年人三叉神经痛射频治疗的临床应用
  
DOI:
中文关键词: 三叉神经痛  射频热凝术  半月神经节  老年人
英文关键词: Trigeminal neuralgia  Radiofrequency coagulation  Elderly
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作者单位
郭强,宋晨,郝建忠,刘宏斌,王诚,董意如,李跃华,林友俊,杨天明,王夕海,游洋 518036深圳北京大学深圳医院神经外科(郭强、宋晨、郝建忠、刘宏斌、王诚)南京东南大学中大医院神经外科(董意如、李跃华、林友俊、杨天明、王夕海、游洋) 
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中文摘要:
      目的探讨射频热凝术治疗老年人三叉神经痛的穿刺方法、射频温度与时间、治疗的并发症。 方法采用Hartel前入路穿刺法,射频热凝术治疗三叉神经痛。 结果本组620例,总有效率91.3%,无死亡率,并发症少、轻,7年随访复发率21.8%。 结论射频热凝术是治疗老年人三叉神经痛安全、简便、有效、适应症广、并发症少、轻的方法。
英文摘要:
      ObjectiveTo further study the techniques of percutaneous puncture, the temperature, as well as the dosage used during the radiofrequency thermocoagulation therapy for treatment of elderly patient with trigeminal neuralgia. MethodsThe therapeutic effects of the radiofrequency thermocoagulation in the treatment of 620 patients aged 60~76 years (average 67.3) were retrospectively analyzed. Anterior Hartel approach technique was adopted in the treatment. After the trigeminal ganglion was accurately reached, coagulation with temperature of 60~75℃ for 0.5~1.0 minute was carried out, for up to 2 to 4 times. ResultsThe total effective rate was 91.3%, none of these patients died during the treatment. Complications were rare. The recurrence rate was 21.8% within a 7-year follow-up period. ConclusionRadiofrequency thermocoagulation is an effective and safe therapeutic option in the treatment of elderly patient with trigeminal neuralgia.
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