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

Abstract

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

CLC Number:

R745.11

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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References 25

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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

Clinical application of radiofrequency thermocoagulation under double needle guide in the treatment of recurrent mandibular neuralgia

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[3]	. Curative effect analysis of the radiofrequency thermocoagulation for treating maxillary nerve neuralgia by two percutaneous puncture methods under X-ray [J]. , 2017, 37(10): 905-909.