[1]乔梁,朱宏伟,陶蔚,等.神经导航下三叉神经半月节射频热凝术中的电生理研究[J].临床神经外科杂志,2014,(02):107-109.
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神经导航下三叉神经半月节射频热凝术中的电生理研究()
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
期数:
2014年02期
页码:
107-109
栏目:
论著
出版日期:
2014-04-30

文章信息/Info

Title:
Electrophysiological monitoring studies during neuronavigation-guided radiofrequency thermocoagulation of trigeminal semilunar ganglion
作者:
乔梁 朱宏伟 陶蔚 胡永生 李勇杰
首都医科大学宣武医院功能神经外科
关键词:
三叉神经痛 射频热凝术 电生理监测
Keywords:
trigeminal neuralgiaradiofrequency thermocoagulation electrophysiological monitoring
分类号:
R745.11
文献标志码:
A
摘要:
目的 探讨三叉神经半月节射频热凝术中电生理监测的内容和意义。方法 选择30例接受神经导航下三叉神经半月节射频热凝术的患者,记录其术中电生理监测的数据,包括刺激诱发面部感觉异常的范围和阈值、刺激诱发面部运动的部位和阈值、毁损前的电阻值。毁损术前、术后分别评估视觉模拟评分(visual analog score, VAS)。结果 30例患者电刺激诱发面部感觉异常的阈值分布于0.05-0.5v之间,平均值为0.21v。刺激诱发面部运动反应的阈值分布于0.08-0.5v之间, 平均值为0.27v。毁损前电阻值分布于283-580Ω之间,平均值为396Ω。 除1例外,29例患者疼痛的术后明显缓解或者消失。1例患者术后出现咬肌肌力减弱。结论 完整细致的电生理监测有助于提高三叉神经半月节射频热凝术的有效率及减少手术不良反应。
Abstract:
Objective To assess the content and significance of electrophysiological studies during percutaneous radiofrequency (RF) thermocoagulation of trigeminal semilunar ganglion. Methods Thirty cases of RF for trigeminal neuralgia were studied for their electrophysiological monitoring data including thresholds of evoked paraesthesia and facial movement. Pre- and post-operative visual analog scores (VAS) were assessed for each patient. Results The thresholds for evoked paraesthesia and facial movement for the patients were 0.21v (range: 0.05-0.5v) and 0.27v (range 0.08-0.5v), respectively. All patients received significant pain relief from the RF surgeries except one. One patient reported masseter weakness postoperatively. Conclusions Complete and thorough electrophysiological monitoring is of great significance for maximizing the effect of trigeminal semilunar ganglion RF thermocoagulation and minimizing its possible complications.

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备注/Memo

备注/Memo:
[收稿日期] 2013-05-14 [基金项目] 高校博士学科点专项科研基金-新教师类
更新日期/Last Update: 2014-04-15