曲安奈德外周神经干周围注射治疗原发性三叉神经痛86例

Treatment of trigeminal neuralgia by injecting triamcinolone through peripheral nerve trunk: Report of 86 cases

摘要: 目的: 探讨醋酸曲安奈德外周神经干注射对原发性三叉神经痛的治疗效果。方法: 对86例原发性三叉神经痛患者在圆孔、卵圆孔外口的神经干周围注射醋酸曲安奈德50 mg,每周1次,5次为一疗程。结果: 疼痛消失70例,疼痛明显减轻14例,总有效率97.6%,其中显效率为81.4%;1年后随访70例,复发率8.6%,3年后随访60例,复发率30%。结论: 醋酸曲安奈德治疗原发性三叉神经痛方法简单、安全,疗效显著。

Abstract: Objective: To investigate the therapeutic efficacy of triamcinolone injection through peripheral nerve trunk on trigeminal neuralgia.Methods: Eighty-six cases suffering from trigeminal neuralgia were injected triamcinolone through the peripheral nerve trunk in foramen rotundun and foramen ovale once a week for five weeks.Results: The pain disappeared in 70 cases and was relived in 14 cases after treatment.The remission rate was 97.6%.Seventy cases were followed up for one year,and 6 cases recurred,with a recurrence rate of 8.6%;sixty cases were followed for three-years and 18 cases recurred,with a recurrence rate of 30%.Conclusions: The therapy of triamcinolone is simple,safe and effective for treatment of trigenminal neuraligia.