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目的评价射频热凝术治疗原发性三叉神经痛的临床疗效。方法仰卧位,Hartel前入路穿刺法,局部浸润麻醉,徒手刺中三叉神经半月节后以温控射频热凝对靶点毁损,温度控制在65℃-78℃,持续时间60～90 s。结果本组850例疗效优良732例,好转103例,无变化15例,总有效率98％,出现并发症131例,占15．4％,一般自行恢复。结论用射频热凝术治疗原发性三叉神经痛是安全可靠、有效的一种治疗手段。
Objective To evaluate the clinical efficacy of radiofrequency thermocoagulation in the treatment of primary trigeminal neuralgia. Methods The supine position, Hartel anterior approach, local infiltration anesthesia, hand-pricked trigeminal nerve semilunar after the temperature control of RF coagulation on the target damage, temperature control at 65 ℃ -78 ℃, duration 60 ~ 90s. Results The group of 850 cases of excellent effect in 732 cases, improved in 103 cases, no change in 15 cases, the total effective rate was 98%, 131 cases occurred complications, accounting for 15.4%, generally self-recovery. Conclusion Radiofrequency thermocoagulation for the treatment of primary trigeminal neuralgia is a safe, reliable and effective method of treatment.