Percutaneous radiofrequency thermocoagulation and microvascular decompression for treating glossopharyngeal neuralgia: a retrospective clinical study

BMC Neurology

Research

Zeyu Wu¹  Yongming Zhao¹  Ying Yang¹  Yiyue Fan¹  Fan Wu² 

[1] Department of Pain,The Affiliated Nanchong Central Hospital of North Sichuan Medical College, 97, South Renmin Road, Shunqing District, Nanchong, Sichuan, China;Department of Pharmacy, Sichuan Nanchong Mental Health center, The Second People’s Hospital of Nanchong, Nanchong, Sichuan, China;

关键词: Glossopharyngeal neuralgia;    Percutaneous radiofrequency thermocoagulation;    Microvascular decompression;    Curative effect;    Prognosis;   

DOI  :  10.1186/s12883-023-03415-z

 received in 2023-06-27, accepted in 2023-09-30,  发布年份 2023

来源: Springer

【 摘 要 】

ObjectivesThis study aimed to investigate the differences in the effectiveness of percutaneous radiofrequency thermocoagulation (PRT) and microvascular decompression (MVD) in treating glossopharyngeal neuralgia (GPN).MethodsMedical records of patients were reviewed to investigate their baseline characteristics and immediate postoperative prognosis. Long-term outcomes of these patients were obtained through telephone interviews. Visual analog scale (VAS) and Pittsburgh sleep quality index (PSQI) scores at 1 day and 1, 4, 12, 24, and 48 weeks after surgery were compared between the MVD and PRT groups, in addition to complete pain relief rate, effective rate, adverse reactions, length of hospital stay, and economic indicators.ResultsThe VAS and PSQI scores of the two groups at 1 day and 1, 4, 12, 24, and 48 weeks after surgery were significantly lower (P < 0.05) than those before surgery. At 48 weeks, the complete remission rate was significantly higher (P < 0.05) in the MVD group than in PRT group. No significant difference in adverse reactions was observed between the two groups. The length of hospital stay, operative time, and cost were significantly higher (P < 0.05) in the MVD group than in the PRT group.ConclusionsBoth PRT and MVD can significantly reduce patients’ degree of pain and improve their sleep quality. In the medium term, MVD is better than PRT in terms of the complete curative effect. In young patients with GPN, MVD is more often recommended than PRT; however, MVD is costlier than PRT.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

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