Laurent B, Nuti C, Brunon J, Richard A
Centre Anti-Douleur, Service de Neurologie, Hôpital Bellevue, 42055 Saint-Etienne Cedex.
Neurochirurgie. 2000 Nov;46(5):492-504.
We present our multidisciplinary approach systematically adopted for patients with resistant pain. All the anatomic, pathophysiological, clinical, radiographical, electrophysiological and psychological aspects of pain should be considered before deciding on treatment indication. These principles are illustrated by a description of different available medical and surgical techniques for the treatment of paraplegic pain. We emphasize the importance of pain centers in caring for these patients. All possibilities for antalgic treatment can be considered in such centers, providing a better approach to all aspects of pain.
我们展示了针对顽固性疼痛患者系统采用的多学科方法。在确定治疗指征之前，应考虑疼痛的所有解剖学、病理生理学、临床、影像学、电生理和心理学方面。通过描述治疗截瘫性疼痛的不同可用医学和外科技术来说明这些原则。我们强调疼痛中心在护理这些患者中的重要性。在这样的中心可以考虑所有止痛治疗的可能性，为疼痛的各个方面提供更好的方法。
