Vilela Filho O, Araujo M R, Florencio R S, Silva M A, Silveira M T
Stereotactic and Functional Neurosurgery Service and Department of Gynecology of Hospital das Clínicas, Medical School, Universidade Federal de Goiás, Brazil.
Stereotact Funct Neurosurg. 2001;77(1-4):177-82. doi: 10.1159/000064617.
Surgical treatment of intractable visceral pain has always been a challenge. The relatively recent discovery of a specific visceral pain pathway brought a new insight to this matter. The authors describe a new technique to interrupt this pathway, the CT-guided percutaneous punctate midline myelotomy, successfully applied in two patients with intractable pelvic visceral pain. Due to its simplicity, safety and high effectiveness, it may become the treatment of choice for intractable visceral pain.
顽固性内脏疼痛的外科治疗一直是一项挑战。相对较新发现的一条特定内脏疼痛通路为这一问题带来了新的见解。作者描述了一种中断该通路的新技术——CT引导下经皮穿刺中线脊髓切开术,并成功应用于两名顽固性盆腔内脏疼痛患者。因其操作简单、安全且高效,它可能会成为顽固性内脏疼痛的首选治疗方法。