Comparison Of Clinical Efficacy Of CT-guided Gasserian Ganglion Pulsed Radiofrequency Treatment For Young Versus Elderly Patients With Trigeminal Neuralgia

Objective:To compare the clinical efficacy of CT-guided Gasserian ganglion pulsed radiofrequency(PRF)treatment for young versus elderly patients with trigeminal neuralgia.And by Gasserian ganglion pulsed radiofrequency(PRF)treatment for young versus elderly patients with trigeminal neuralgia,comparing the clinical curative effect of clinical treatment experience for later.Methods:Collected in June 2015 to June 2016 hospital of tianjin medical university second hospital pain invalid conservative treatment,patients with primary trigeminal neuralgia.These patients are usually primary or invalid conservative treatment of patients with trigeminal neuralgia.Patients were assigned to group A including 20 young patients with trigeminal neuralgia or group B including 20 elderly patients with trigeminal neuralgia.Patients in both groups A and B received CT-guided PRF(60sec for 3 cycles).Inform related risks,voluntary intervention treatment,agreement were signed before surgery.After entering the operating theater,the patient supine,the shoulder pad a thin pillow,head slightly back,established venous pathway and monitored.Target of trigeminal nerve and ganglion neurons.To determine the length of zygomatic arch,to mark the point,take the side angle lateral slightly upward as the needle point 2.5 cm.Positive view slightly medial direction pointed tip at the pupil,Side view needlepoint zygomatic arch midpoint marks direction slowly advance the needle.Under CT guided needle point to patent foramen and ganglion,local anesthesia drug injection,no local anesthetics in no toxicreaction.Patients in groups A received CT-guided PRF(60sec for 3 cycles).Patients in groups B received CT-guided PRF(60sec for 3 cycles).Pulsed radiofrequency keep patients hypothesis 3 h after treatment.A,B two groups of patients in the periods before and after the pulsed radiofrequency treatment of pain scores and sleep quality score,detailed evaluate the clinical efficacy of postoperative patients with trigeminal neuralgia in,calculate the pulse radio frequency for the treatment of trigeminal neuralgia is efficient.Record and follow-up after treatment of complications of the recovery.Results:1 Two groups of patients with general condition Two groups of time range in the degree of illness,pain,pain,onset age,no obvious difference.(P > 0.05)2 Two groups of pulse radio frequency(rf)in patients with pain score and sleep quality score before treatment Two groups of pulse radio frequency(rf)in patients with pain score before treatment and there was no significant difference between sleep therapy.(P > 0.05)3 Pulsed radiofrequency treatment in both groups after the pain score and the scores of sleep3.1 Pulsed radiofrequency treatment in both groups after the pain score and the scores of sleep Group A(young)pulse radiofrequency treatment after each time point pain score,respectively4.20±0.62、2.34±0.49、2.05±0.69、2.05±0.61 pulsed radiofrequency treatment after each period pain score significantly lower than the preoperative.(P<0.01).Group B(agedness)pulse radiofrequency treatment after each time point pain score,respectively 4.25±0.63 、 2.80±0.77 、2.50±0.76、3.65±0.49 in diffirent points,no significant differences in VAS score was observed between groups A and B at T1,T2 or T3(P>0.05),and the VAS score was lower in group A than in group B at T4(P<0.01).3.2 post-operative SIS results Post-operative SISof group 4.20±0.62、2.34±0.49、2.05±0.69、2.05±0.61,pulsed radiofrequency treatment after each period of sleep quality score were significantly lower compared with preoperative(P<0.01).Post-operative SIS of group B are 4.30±0.66、2.45±0.59、2.15±0.59、2.75±0.62 in diffirent points,no significant differences in SIS score were observed between groups A and B at T1,T2 or T3(P>0.05),and the VAS score was lower in group A than in group B at T4(P<0.01).4 efficiency in different points results The groups A and B have no significant differences were observed between groups A and B at T1,T2 or T3(P>0.05),The efficiency was superior in group A than in group B at T4(P<0.01).5 adverse reaction Pulsed radiofrequency treatment of patients with high blood pressure,local swelling,after the upper eyelid to wait for a symptom,the symptom disappeared after treatment.All patients who stable vital signs,not seen in his discomfort after surgery.Conclusion:CT-guided Gasserian ganglion pulsed radiofrequency(PRF)treatment for young versus elderly patients with trigeminal neuralgia produced good safety and efficacy for the treatment,gasserian ganglion pulsed radiofrequency treatment of trigeminal neuralgia can be used as a method of choice for young patients with trigeminal neuralgia.