Volume 20 Issue 6
Jun.  2022
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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.

     

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