牙支持3D导板辅助穿刺卵圆孔射频热凝治疗三叉神经痛的疗效分析

doi:10.13701/j.cnki.kqyxyj.2021.12.009

口腔医学研究 ›› 2021, Vol. 37 ›› Issue (12): 1099-1103.DOI: 10.13701/j.cnki.kqyxyj.2021.12.009

牙支持3D导板辅助穿刺卵圆孔射频热凝治疗三叉神经痛的疗效分析

陈冬雷¹, 解东平², 郑政¹, 周俞强², 陈勇军¹, 王翔^1*

1.南通市第一人民医院口腔科江苏南通 226001;
2.江苏时间环三维科技有限公司江苏南通 226005

收稿日期:2021-06-15 发布日期:2021-12-17
通讯作者: *王翔,E-mail:71505875@qq.com
作者简介:陈冬雷(1978~ ),江苏南通人,硕士,副主任医师,研究方向:口腔颌面部肿瘤、口腔颌面部骨折、三叉神经痛、牙种植。
基金资助:
南通市社会民生科技项目(编号:MS12020032)

Effect of Radiofrequency Thermal Coagulation in Treatment of Trigeminal Neuralgia through Puncture of Foramen Ovale Assisted by 3D Tooth Supported Guide

CHEN Donglei¹, XIE Dongping², ZHENG Zheng¹, ZHOU Yuqiang², CHEN Yongjun¹, WANG Xiang^1*

1. Department of Stomatology, the First People's Hospital of Nantong, Nantong 226001, China;
2. Jiangsu Ouring 3D Technology Co, Ltd, Nantong 226005, China

Received:2021-06-15 Published:2021-12-17

摘要/Abstract

摘要： 目的:探讨牙支持式3D打印导板辅助穿刺卵圆孔射频热凝治疗三叉神经痛术中术后的疗效分析。方法:对2019年1月~2021年5月收治的三叉神经痛患者40人,根据患者需要随机分成2组:A组(对照组),常规按照Hartel前入路法穿刺卵圆孔,进入卵圆孔后,耳-床线定位确定入颅深度后行射频治疗。B组(导板组),采用3D导板,给患者戴上导板固定后,完成穿刺,耳-床线定位确定入颅深度后行射频治疗。分析2组的术前疼痛评分(VAS)术后即刻及术后1月疼痛消失的有效率,手术时间,穿刺次数,并发症,穿刺的偏移程度。结果:与对照组A组比较在术后即刻有效率、术后1月随访有效率比较无统计学差异(P＞0.05)。在穿刺次数、穿刺偏移率、手术时间、并发症两组间比较有统计学差异(P＜0.05)。导板与牙齿紧密贴合率100%。结论:3D打印导板应用于穿刺卵圆孔具有明显的优势,可以减少患者创伤,减少X线辐射,减少穿刺偏移,术后疗效肯定,值得广泛应用。

关键词: 3D打印导板, 三叉神经痛, 计算机辅助设计, 牙支持式

Abstract: Objective: To investigate the effect of intraoperative and postoperative treatment of trigeminal neuralgia through puncture of foramen ovale assisted by 3D printing tooth supported guide plate. Methods: Forty patients with trigeminal neuralgia from January 2019 to May 2021 were randomly divided into 2 groups. Group A (Control group): foramen ovale was punctured according to Hartel's anterior approach, and radiofrequency therapy was performed after the foramen ovale was penetrated and the cranial depth was determined by ear-bed line positioning. Group B (Guide plate group): the puncture was guided by 3D guide plate, and radiofrequency therapy was performed after cranial depth was determined by ear-bed line positioning. Visual analogue score (VAS) before and after operation, pain disappearance immediately and 1 month after surgery, operative time, number of puncture, complications, and puncture deviation degree were analyzed in both groups. Results: Compared with control group, there were no significant differences in the pain disappearance immediately and 1 month after surgery (P>0.05). There were significant differences in the number of puncture, puncture deviation degree, operation time, and complications between two groups (P<0.05). The guide plate closely adapted to the teeth. Conclusion: Using 3D printing guide plate to puncture foramen ovale has obvious advantages, which can reduce patient trauma, reduce X-ray radiation, and reduce puncture deviation.

Key words: 3D printing guide plate, trigeminal neuralgia, computer-aided design, tooth support type

陈冬雷, 解东平, 郑政, 周俞强, 陈勇军, 王翔. 牙支持3D导板辅助穿刺卵圆孔射频热凝治疗三叉神经痛的疗效分析[J]. 口腔医学研究, 2021, 37(12): 1099-1103.

CHEN Donglei, XIE Dongping, ZHENG Zheng, ZHOU Yuqiang, CHEN Yongjun, WANG Xiang. Effect of Radiofrequency Thermal Coagulation in Treatment of Trigeminal Neuralgia through Puncture of Foramen Ovale Assisted by 3D Tooth Supported Guide[J]. Journal of Oral Science Research, 2021, 37(12): 1099-1103.

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牙支持3D导板辅助穿刺卵圆孔射频热凝治疗三叉神经痛的疗效分析

Effect of Radiofrequency Thermal Coagulation in Treatment of Trigeminal Neuralgia through Puncture of Foramen Ovale Assisted by 3D Tooth Supported Guide

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