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为探讨CT引导下蝶腭神经节脉冲射频治疗(pulsed radiofrequency therapy,PRFT)丛集性头痛(cluster headache,CH)的疗效,本研究随机选取本院收治的40例丛集性头痛患者(20例难治性丛集性头痛患者,17例阵发性丛集性头痛患者,3例慢性丛集性头痛患者),在CT引导下进行蝶腭神经节脉冲射频治疗。15例(88%)阵发性丛集性头痛(ECH)患者和1例(33%)慢性丛集性头痛(CCH)患者治疗结束后平均5.5(1~30)d完全缓解了头痛,2例(12%)阵发性丛集性头痛(ECH)患者和2例(67%)慢性丛集性头痛(CCH)患者的头痛并无缓解。平均做了27(12~45)个月的随访,40例患者均未产生与治疗相关的并发症和不良反应。研究表明,在具有阵发性丛集性头痛(ECH)患者中,对蝶腭神经节进行脉冲射频治疗可以快速、有效和安全地促进丛集期的缓解,这在保守治疗无效时是一种选择。
Abstract：To explore the efficacy of CT-guided pulsed radiofrequency therapy(PRFT) of sphenopalatine ganglion in the treatment of cluster headache(CH), 40 patients with cluster headache(20 patients with refractory cluster headache, 17 patients with paroxysmal cluster headache, and 3 patients with chronic cluster headache), who were admitted into our hospital, were randomly selected in this study and underwent CT-guided PRFT of the sphenopalatine ganglion. 15 patients(88%) with episodic cluster headache(ECH) and 1(33%) with chronic cluster headache(CCH) experienced complete relief of headache inr an average of 5.5(1~30) days after treatment,but the headache was not relieved in 2 patients(12%) with ECH and 2 patients(67%) with CCH. All patients were followed up for an average of 27 months(12~45), and no treatment-related complications or adverse reactions were reported in 40 patients. Studies have shown that pulsed radiofrequency treatment of the sphenopalatine ganglion towards patients with ECH could rapidly, effectively and safely promote cluster-stage remission, which was a promising option when conservative treatment was ineffective.
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基本信息:
DOI：10.13417/j.gab.036.002712
中图分类号:R741
引用信息:
[1]李延荣,娄丹.CT引导下蝶腭神经节脉冲射频治疗丛集性头疼[J].基因组学与应用生物学,2017,36(07):2712-2716.DOI:10.13417/j.gab.036.002712.
基金信息:
石家庄市科学技术研究与发展指导计划项目(151460663)资助
2017-07-25
2017-07-25