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[宫颈癌性颈面部疼痛中斯约奎斯特手术的补充程序]

[Complementary procedures to the Sjoqvist operation in cancerous cervico-facial pain].

作者信息

Vlahovitch B, Fuentes J M, Choucair Y, Moreau P, Pascal M

出版信息

Neurochirurgie. 1976 Sep-Oct;22(5):503-15.

PMID:1018724
Abstract

The trigeminal spinal tractotomy of Sjoqvist can be enlarged and give a very good result on cancer pain of face and throat. When pain is also cervical, it is usefull to associate with the Sjoqvist operation two important procedures: 1 degree--Instead of a simple posterior cervical radicotomy it seems best to practise a selective posterior radicellotomy. This technic has the advantage to preserve the sensory proprioceptive capacity of the superior limb, while being perform even until C6 and C7 roots. Also in case of recurrence of cervico brachial pain, it remains easy to apply a posterior spinal stimulation. 2--The spinal nerve has not only a motor function but also a sensory one. The sensory fibers travelling through small anastomosis between "LARUELLE Ganglion" and cervical roots must be separated to obtain a more complete analgesia.

摘要

肖奎斯特三叉神经脊髓束切断术可以扩大,对面部和咽喉部癌痛能取得很好的效果。当疼痛也累及颈部时,将两项重要操作与肖奎斯特手术联合进行是有用的:1度——与其进行简单的颈后神经根切断术,似乎最好实施选择性后根髓切断术。这项技术的优点是保留上肢的感觉本体感受能力,同时甚至可以对C6和C7神经根进行操作。而且在颈臂痛复发的情况下,仍易于进行脊髓后刺激。2——脊神经不仅有运动功能,也有感觉功能。必须分离通过“拉鲁埃尔神经节”与颈神经根之间的小吻合支走行的感觉纤维,以获得更完全的镇痛效果。

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