Eficienţa terapiei tisulare la pacienţii cu nevralgie trigeminală trataţi anterior cu radioterapie

Abstract

ezumat. Terapia tisulară prin grefa nervului cadaveric conservat a devenit o metodă recunoscută. Experienţa de mai mult de 25 de ani a demonstrat că efectul terapiei aplicate depinde de tratamentul anterior administrat de pacient. Bolnavii primari se tratează eficient şi repede (3‑4 şedinţe), cei care au folosit metode conservative şi distructive — mai lent, dar tot cu efect bun (10 şedinţe), la cei care au folosit roentgenoterapia (14 pacienţi), efectul tratamentului este slab pronunţat şi de o perioadă scurtă (2‑3 luni). Am ajuns la concluzia că, la această categorie de pacienţi, terapia tisulară este puţin eficientă.

Summary. Tissue therapy by means of the preserved graft of the cadaveric nerve has become an established method. Our experience of more than 25 years proved the effect of the applied procedure to depend on the patient’s previous treatment. The primary patients are efficiently cured after 3 — 4 procedures. Those who have been used conservative and destructive methods before achieve good results gradually (after 10 sittings). And in those who have undergone a course of radiotherapy previously (14 patients) the effect of treatment is insignificant, with remissions lasting 2 — 3 months. So, we have concluded that in the last group of patients the use of tissue therapy is inefficient.