Volume 20 Issue 6
Jun.  2022
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(6): 914-918
GUO Yan, WANG Li-kui, ZHU Ben-fan, MAO Yu. Effect of radiofrequency thermocoagulation on semilunar ganglion in treating different degrees of vascular associated trigeminal neuralgia[J]. Chinese Journal of General Practice, 2022, 20(6): 914-918. doi: 10.16766/j.cnki.issn.1674-4152.002486
Citation: GUO Yan, WANG Li-kui, ZHU Ben-fan, MAO Yu. Effect of radiofrequency thermocoagulation on semilunar ganglion in treating different degrees of vascular associated trigeminal neuralgia[J]. Chinese Journal of General Practice, 2022, 20(6): 914-918. doi: 10.16766/j.cnki.issn.1674-4152.002486
shu

Effect of radiofrequency thermocoagulation on semilunar ganglion in treating different degrees of vascular associated trigeminal neuralgia

doi: 10.16766/j.cnki.issn.1674-4152.002486

  • Department of Pain Medicine, the First Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230022, China

Funds:

 82101301

  • Received Date: 2021-11-30
    Available Online: 2022-09-21
    Abstract
  •   Objective  To observe the clinical efficacy of trigeminal nerve radiofrequency thermocoagulation in the treatment of different degrees of vascular associated trigeminal neuralgia.  Methods  A total of 101 patients with trigeminal neuralgia from September 2015 to November 2020 in the First Affiliated Hospital of Anhui Medical University were enrolled in the retrospective analysis, including 32 patients with no trigeminal nerve associated with peripheral blood vessels (group A), 40 patients with the trigeminal nerve closely related to peripheral vascular (group B) and 29 patients with vascular compression of trigeminal nerve (group C). Radiofrequency thermocoagulation of the semilunar ganglion guided by CT was performed in all three groups. Visual analogue scale (VAS), quality of life, carbamazepine dose and excellent and good rate of treatment were observed and compared before and after 1, 3, 6 and 12 months in the three groups.  Results  There were statistically significant differences in VAS scores among the 3 groups, and there were statistically significant differences between groups and at different time points within groups (Fintergroup/time/interaction=125.402, 261.255, 20.994; all P < 0.05). There were statistically significant differences in the dose of carbamazepine among the 3 groups, and statistically significant differences between groups and at different time points within groups (Fintergroup/time/interaction=126.065, 266.616, 15.125; all P < 0.05). VAS score and carbamazepine dose in group A were lower than those in group B and group C (all P < 0.05), and there was no statistical significance between group B and group C (all P>0.05). VAS score and carbamazepine dose in three groups were significantly decreased after operation compared with before operation (all P < 0.05). The quality of life of patients in the three groups was significantly improved after surgery (all P < 0.05). The excellent and good rates of the three groups after 12 months were 90.63%, 82.5% and 86.21%, respectively.  Conclusion  CT-guided radiofrequency thermocoagulation on semilunar ganglion can significantly relieve pain and improve the quality of life of patients with trigeminal neuralgia. Vascular nerve association affects the outcome of surgery.

     

    • FullText(HTML)
  • loading
    • References(16)
  • [1]
    ZENG F, ZHU M Y, WAN Q, et al. The treatment of V2+V3 idiopathic trigeminal neuralgia using peripheral nerve radiofrequency thermocoagulation via the foramen rotundum and foramen ovale compared with semilunar ganglion radiofrequency thermocoagulation[J]. Clin Neurol Neurosurg, 2020. DOI: 10.1016/j.clineuro.2020.106025.
    [2]
    赵素倩, 穆楠楠, 马树泽, 等. 3D打印导板辅助卵圆孔定位射频热凝术中不同热凝时间治疗三叉神经痛的效果及安全性[J]. 局解手术学杂志, 2021, 30(6): 529-535. https://www.cnki.com.cn/Article/CJFDTOTAL-JJXZ202106016.htm

    ZHAO S Q, MU N N, MA S Z, et al. Effect and safety of different thermocoagulation time in radiofrequency thermocoagulation for the treatment of trigeminal neuralgia[J]. Journal of Regional Anatomy and Operative Surgery, 2021, 30(6): 529-535. https://www.cnki.com.cn/Article/CJFDTOTAL-JJXZ202106016.htm
    [3]
    DING Y Y, YAO P, LI H X, et al. Comparison of efficacy and safety of ct-guided radiofrequency thermocoagulation through foramen rotundum versus foramen ovale for V2 primary trigeminal neuralgia[J]. Pain Physician, 2021, 24(8): 587-596.
    [4]
    STERMAN-NETO H, FUKUDA C Y, DUARTE K P, et al. Balloon compression vs radiofrequency for primary trigeminal neuralgia: A randomized, controlled trial[J]. Pain, 2021, 162(3): 919-929. doi: 10.1097/j.pain.0000000000002070
    [5]
    陈栋樑, 仲俊峰, 黄兵, 等. 三叉神经痛颅外射频热凝舒适化治疗的流程与监护管理[J]. 中华全科医学, 2021, 19(1): 141-145. doi: 10.16766/j.cnki.issn.1674-4152.001751

    CHEN D L, ZHONG J F, HUANG B, et al. Procedure and monitoring management of extracranial radiofrequency thermocoagulation for trigeminal neuralgia[J]. Chinese Journal of General Practice, 2021, 19(1): 141-145. doi: 10.16766/j.cnki.issn.1674-4152.001751
    [6]
    DI STEFANO G, DE STEFANO G, LEONE C, et al. Real-world effectiveness and tolerability of carbamazepine and oxcarbazepine in 354 patients with trigeminal neuralgia[J]. Eur J Pain, 2021, 25(5): 1064-1071. doi: 10.1002/ejp.1727
    [7]
    MELEK L N, SMITH J G, KARAMAT A, et al. Comparison of the neuropathic pain symptoms and psychosocial impacts of trigeminal neuralgia and painful posttraumatic trigeminal neuropathy[J]. J Oral Facial Pain Headache, 2019, 33(1): 77-88. doi: 10.11607/ofph.2157
    [8]
    郭楠, 秦响, 汪秀玲. MRI 3D-TOF联合3D-FIESTA对原发性三叉神经痛三叉神经形态学和疼痛程度相关性的研究[J]. 神经损伤与功能重建, 2021, 16(1): 48-50. https://www.cnki.com.cn/Article/CJFDTOTAL-GWKF202101015.htm

    GUO N, QIN X, WANG X L. MRI 3D-TOF combined with 3D-FIESTA to study the correlation between trigeminal nerve morphology and pain degree in primary trigeminal neuralgia[J]. Neural Injury and Functional Reconstruction, 2021, 16(1): 48-50. https://www.cnki.com.cn/Article/CJFDTOTAL-GWKF202101015.htm
    [9]
    郭楠, 汪秀玲. 原发性三叉神经痛的MRI研究进展[J]. 放射学实践, 2021, 36(7): 942-946. https://www.cnki.com.cn/Article/CJFDTOTAL-FSXS202107035.htm

    GUO N, WANG X L. Research progress of MRI in primary trigeminal neuralgia[J]. Radiologic Practice, 2021, 36(7): 942-946. https://www.cnki.com.cn/Article/CJFDTOTAL-FSXS202107035.htm
    [10]
    JUNG G H, YOU S J. Evaluation of hematologic profile may be needed for patients treated with oxcarbazepine[J]. Korean J Pediatr, 2019, 62(8): 312-316. doi: 10.3345/kjp.2019.00017
    [11]
    李淑贤, 黄现平, 张玉冰, 等. 卡马西平联合阿米替林治疗原发性三叉神经痛的临床研究[J]. 癫痫与神经电生理学杂志, 2021, 30(1): 51-54. https://www.cnki.com.cn/Article/CJFDTOTAL-OBED202101012.htm

    LI S X, HUANG X P, ZHANG Y B, et al. Clinical study of carbamazepine combined with amitriptyline in the treatment of primary trigeminal neuralgia[J]. Journal of Epileptology and Electroneurophysiology, 2021, 30(1): 51-54. https://www.cnki.com.cn/Article/CJFDTOTAL-OBED202101012.htm
    [12]
    DI STEFANO G, DE STEFANO G, LEONE C, et al. Concomitant continuous pain in patients with trigeminal neuralgia is associated with trigeminal nerve root atrophy[J]. Cephalalgia, 2020, 40(13): 1502-1510. doi: 10.1177/0333102420949206
    [13]
    DI STEFANO G, YUAN J H, CRUCCU G, et al. Familial trigeminal neuralgia: A systematic clinical study with a genomic screen of the neuronal electrogenisome[J]. Cephalalgia, 2020, 40(8): 767-777. doi: 10.1177/0333102419897623
    [14]
    ABDEL-RAHMAN K A, ELAWAMY A M, MOSTAFA M F, et al. Combined pulsed and thermal radiofrequency versus thermal radiofrequency alone in the treatment of recurrent trigeminal neuralgia after microvascular decompression: A double blinded comparative study[J]. Eur J Pain, 2020, 24(2): 338-345. doi: 10.1002/ejp.1489
    [15]
    REN H, ZHAO C M, WANG X D, et al. The efficacy and safety of the application of pulsed radiofrequency, combined with low-temperature continuous radiofrequency, to the gasserian ganglion for the treatment of primary trigeminal neuralgia: Study protocol for a prospective, open-label, parall, randomized controlled trial[J]. Pain Physician, 2021, 24(1): 89-97.
    [16]
    WANG T T, XU S J, HE Q L, et al. Efficacy and safety of radiofrequency thermocoagulation with different puncture methods for treatment of v1 trigeminal neuralgia: A prospective study[J]. Pain physician, 2021, 24(2): 145-152.
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(1)  / Tables(5)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (313) PDF downloads(16) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return