双针道导板下射频热凝治疗复发性下颌神经痛的临床应用

doi:10.13591/j.cnki.kqyx.2025.02.007

摘要/Abstract

摘要：

目的探究利用设计的双针道导板射频热凝治疗复发性下颌神经痛可行性,并研究双针穿刺卵圆孔技术治疗的临床价值。方法选取本院于2018年1月到 2023年11月收治的40例复发性下颌神经痛患者,将研究对象随机分为观察组(使用双针导板技术,共20例)和对照组(使用传统单针导板技术,共20例)。对比两组治疗前后情况。结果所有病例完成射频热凝治疗后按调整分级标准总体无痛率90%,两组无痛率有差异(P<0.05),两组并发症、穿刺调整次数比较无明显差异(P>0.05);与对照组相比,观察组手术时间较长(P<0.05),术后针刺疼痛例数与对照组相比差异有统计学意义(P<0.05)。经对前后面孔视觉模拟疼痛评分(facial visual analogue scale,F-VAS)比较发现,两组均有显著差异(P<0.05),术后F-VAS评分观察组与对照组比较差异有统计学意义(P<0.05)。结论应用双针道导板技术射频热凝治疗的复发性下颌神经痛患者,射频热凝更彻底,并发症不增加,虽然手术时间有所增加,但可以有效消除患者的疼痛,轻松精确实现传统双极射频热凝治疗技术,值得推广。

关键词: 双针道导板, 复发性下颌神经痛, 射频热凝治疗

Abstract:

Objective To explore the feasibility of treating recurrent mandibular neuralgia with radiofrequency thermocoagulation with double needle guide, and to study the clinical value of double needle puncture for foramen ovale. Methods In this study, 40 patients with recurrent mandibular neuralgia admitted to our hospital from January 2018 to November 2023 were selected, and randomly divided into the observation group (20 cases using double-needle guide technology) and control group (20 cases using traditional single-needle guide technology). The two groups were compared before and after treatment. Results After the completion of radiofrequency thermocoagulation therapy, the overall pain-free rate of all cases was 90% according to the adjusted grading criteria, and there was a difference in the pain-free rate between the two groups(P<0.05). There was no significant difference in the number of puncture adjustment and complications between the two groups(P>0.05). The operation time of the observation group was longer than that of the control group(P<0.05), and the number of postoperative acupuncture pain cases was statistically different from that of the control group(P<0.05). After comparison of facial visual analogue scale(F-VAS), it was found that there were significant differences between the two groups(P<0.05), and there were statistical differences between the observation group and the control group(P<0.05). Conclusion Radiofrequency thermocoagulation with double-channel technique treating patients with recurrent mandibular neuralgia is, more thorough and has less complications. Although the operation time is increased, it can effectively eliminate the pain of patients. The traditional bipolar radiofrequency thermocoagulation therapy technology is easily and accurately accomplished, which is worth popularizing.

Key words: double needle guide, recurrent mandibular neuralgia, radiofrequency thermocoagulation therapy

中图分类号:

R745.11

陈冬雷, 王慧, 陈勇军, 解东平, 王翔. 双针道导板下射频热凝治疗复发性下颌神经痛的临床应用[J]. 口腔医学, 2025, 45(2): 118-122.

CHEN Donglei, WANG Hui, CHEN Yongjun, XIE Dongping, WANG Xiang. Clinical application of radiofrequency thermocoagulation under double needle guide in the treatment of recurrent mandibular neuralgia[J]. Stomatology, 2025, 45(2): 118-122.

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组别	n	年龄/岁	病程/年	性别		侧别		术前F-VAS评分	术前麻木评分
组别	n	年龄/岁	病程/年	男	女	左	右	术前F-VAS评分	术前麻木评分
对照组	20	68.9±8.42	6.25±3.18	9	11	11	9	6.2±0.77	4.70±1.22
观察组	20	70.75±9.18	6.45±4.03	11	9	12	8	6.0±1.17	4.45±1.36

组别	n	手术时间/min	穿刺调整次数	并发症 /%	术后针刺疼痛例数
对照组	20	35.25±8.92	1.55±0.60	15	14
观察组	20	55.10±18.36	1.65±0.81	20	20
t/χ²		t=4.410	t=0.462	χ²=0.173	χ²=7.059
P		<0.001	0.649	0.677	0.008

组别	n	术前F-VAS 评分	术后F-VAS 评分	配对t 检验	P
对照组	20	6.2±0.77	0.9±1.92	10.760	<0.000
观察组	20	6.0±1.17	0	22.938	<0.000
t		0.639	2.100
P		0.530	0.049