Klasik trigeminal nevralji tedavisinde radyofrekans termokoagülasyonun kısa sürelietkinliğinin analizi

Klasik trigeminal nevralji tedavisinde radyofrekans termokoagülasyonun kısa vadeli etkinliğini araştırmak. 2016–2019 yılları arasında kurumumuzda radyofrekans termokoagülasyon ile tedavi edilen 23’ü erkek ve 35’i kadın olmak üzere klasik trigeminal nevraljili 58 hastanın retrospektif analizi incelendi. Hastaların ortalama yaşı 62,1±10,9 yıl, hastalık süresi ise 2 ay ile 360 ay arasında değişmekte olup, ortalama hastalık süresi 80,1±77,9 ay idi. Hastalar semptomların ortaya çıktığı bölgeye göre V2, V3, V2+V3 olmak üzere üç gruba ayrıldı. Tedavi etkinliği, hastaların ameliyat öncesi, ameliyat sonrası ve ameliyattan 1 yıl sonrası görsel ağrı simülasyon skorları (VAS) gözlemlenerek değerlendirildi. Klinik etkinlik, V2, V3 ve V2+V3 hasta gruplarının VAS skorlarındaki net iyileşme, trigeminal nevraljide en küçük klinik önemli değişim (MCID) değerine ulaşan hastaların yüzdesi hesaplanarak değerlendirildi. Ameliyat sonrası VAS skorları ve ameliyattan 1 yıl sonraki VAS skorlarının tümü, ameliyat öncesi VAS skorlarına kıyasla anlamlı iyileşme gösterdi (p

Analysis of short-term efficacy of radiofrequency thermocoagulation in the treatment of classic trigeminal neuralgia

The objectives of the study were to explore the short-term efficacy of radiofrequency thermocoagulation for the treatment of classic trigeminal neuralgia (TGN). A retrospective analysis of 58 patients with classical TGN treated with radiofrequency thermocoagulation at our institution between 2016 and 2019, including 23 men and 35 women. The mean age of all patients was 62.1±10.9 years, the duration of the disease ranged from 2 months to 360 months, and the mean duration of the disease was 80.1±77.9 months. Patients were divided into three groups, V2, V3, and V2+V3, according to the site of symptom presentation. Treatment effectiveness was evaluated by observing patients’ before surgery, after surgery, and 1-year after surgery visual pain simulation (VAS) scores. The clinical efficacy was evaluated by calculating the percentage of patients whose net improvement in VAS scores of the three groups of patients V2, V3, and V2+V3 reached the minimal clinically important differences MCID value of TGN. Patients’ after surgery VAS scores and 1-year after surgery VAS scores all showed meaningful improvement (p

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