The anatomical study of percutaneous radiofrequency thermocoagulation of the trigeminal ganglion under neuronavigation system
MENG Qiang-Li, YANG Hong-An, MENG Xiang-Shui, LI Xin-Gang
Chinese Journal of Clinical Anatomy ›› 2013, Vol. 31 ›› Issue (5) : 518-521.
The anatomical study of percutaneous radiofrequency thermocoagulation of the trigeminal ganglion under neuronavigation system
Obiective To evaluate the accuracy of the measurement of diameters about percutaneous radiofrequency thermocoagulation of the trigeminal ganglion under neuronavigation system. Methods The diameter of foramen ovale and the depth of needle in trigeminal ganglion blocking was measured with different surgery methods through neuronavigation system, CT images and standard scientific calipers, respectively. The equivalence and stability of the three measurement methods were evaluated. Results The average length of foramen ovale on basalis samples, CT images and neuronavigation system was (8.42±1.38)mm, (8.46±1.34)mm, (8.50±1.42)mm, and the average breadth was (4.57±0.88)mm, (4.62±0.88)mm, (4.63±0.95)mm accordingly. Compared with values on the cadavers, the values of other two measurement showed no statistic difference (P>0.2). The results of the coefficience of variation(CV) of the three groups showed that the values obtained through the CT image group was the smallest, next to which is the values obtained in cadavers. The distance from the anterolateral border of foramen ovale to the anterior puncturing point was (64.26±8.09)mm, (64.72±8.29)mm in cadavers and neuronavigation system, respectively; the distance from lateral border of foramen ovale to the lateral puncturing point was(42.03±4.17)mm, (42.31±4.36)mm respectively. The values of two groups showed no significant difference (P>0.2). The CV on the group of cadaver was slightly smaller than that of the group of neuronavigation. Conclusion The diameters of foramen ovale and the depth of needle in trigeminal ganglion blocking can be measured on neuronavigation system accurately.
Neuronavigation / Oval foramen / Trigeminal neuralgia / Measurement
[1] Wu CY, Meng FG, Xu SJ, et al. Selective percutaneous radiofrequency thermocoagulation in the treatment of trigeminal neuralgia. report on 1860 cases
[J]. Chin Med J (Engl ) 2004,117(3):467-470.
[2] 邱胜利,魏建军,张扬,等. 导航辅助三叉神经半月神经节射频热凝术
[J]. 立体定向和功能神经外科杂志, 2006,19(5):293-296.
[3] 陈盛刚,余海, 王小山. 颅骨卵圆孔的应用解剖
[J]. 贵阳医学院学报,1995,20(2):107-108.
[4] 何玉泉,沈云霞,唐军华,等. CT扫描观察及测量国人颅底卵圆孔
[J]. 医学影像学杂志, 2006, 16(3): 813-814.
[5] Raabe A, Krishnan R, Wolff R, et al. Laser surface scanning for patient registion in intracranial image-guided surgery
[J]. Neurosurgery, 2002, 50(4): 797-801; discussion 802-803.
[6] Lawton MT, Spetzler RF. Clinical experience with a framless stereotactic arm in intracranial neurosurgery
[M]//Alexander Ⅲ, Maciunas RJ(ed). Advanced neurosurgical navigation. PP321-332. Thieme medical publishers,inc,New York,1999.
[7] Harris W. An analysis of 1433 cases of paroxysmal trigeminal neuralgia and the ends results of gasserian alcohol injections
[J]. Brain, 1940,63:209-211.
[8] 张巧德. 与三叉神经穿刺有关的数据
[J]. 临床应用解剖学杂志,1986,4(3):173-175.
[9] 曹焕军,鞠学红,李翠花,等.颅骨卵圆孔的应用解剖
[J].潍坊医学院学报, 2001,23(2):106-107.
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