摘要
BACKGROUND:Theclinicaltreatmentofneuropathicpainisverytroublesome,andthephysicalmethodofradiofrequencythermocoagulationisagoodchoiceforitstreatment.OBJECTIVE:Toobservethecurativeeffactofpercutaneousradiofrequencythermocoagulationonneuropathicneuralgia.DESIGN:Acasefollow-upanalysis.SETTING:MinimallyInvasiveSurgeryRoom,DepartmentofNeurosurgery,UrumqiGeneralHospitalofLanzhouMilitaryAreaCommandofChinesePLA.PARTICIPANTS:Totally131patientswereselectedfromtheDepartmentofNeurosurgery,UrumqiGeneralHospitalofLanzhouMilitaryAreaCommandofChinesePLAfromDecember2000toJune2006,including73malesand58females,aging37-72yearsold,ANDthediseasecoursewas2-15years.①Drugtreatmentfailedtoalleviatethepainorinducedobvioussidethepainorinducedobvioussideeffects;②Withthesamepathologicalchangesaspainandeffectiveinthenerveblocktest;Hadsignedtheinformedconsentsbeforetreatment.Distributionoftheneuropathicpain:①Trigeminalneuralgia,whichwerelightingattack,locatedatV2in28cases,V3in46cases,V1+V2in3cases,V2+V3in28cases,andV1+V2+V3in1cases;②Migrainelocatedat(exceptthefrontalbranchoftrigeminalnerve)greaterandlesseroccipitalnervesin6cases,auriculotemporalnervein3cases,temporalandzygomaticnervesin3cases;③UnilateralneuralgiaofC2andC3followingherpeszosterin1case,andchestintercostalsneuralgiain2cases;④Lastingburningpainintheoperativeareaafterthoracotomywasin1caseoflungcancer.METHODS:①Alltheenrolledpatientsweretreatedwithpercutaneouspunctureattrigeminalganglionorperipheralnerve,thennerveblockwasperformedfirstlyforanesthesia,andthepaindisappearedimmediatelyatthismoment,therewashypoesthesiaornumbnessintheareaofinnervation,whichmanifestedthepunctureappositionwascorrect.thenelectrostimulationof50Hzwiththecurrentof0.1-0.5Vwasgivenforfurtherfunctionallocalization.②TheRFG-3Cradio
出版日期
2006年07月17日(中国期刊网平台首次上网日期,不代表论文的发表时间)