Raj P Prithvi
Texas Tech University, Lubbock, USA.
Agri. 2004 Jul;16(3):25-34.
Regional anesthesia techniques are used in pain treatment for more than a century. Although its use for acute pain conditions, such as intraoperative, postoperative and traumatic pain, is very well accepted, its use for the chronic pain syndromes is still lacking a consensus among the practitioners. The interventional techniques, which are mostly originated from the regional anesthetic techniques, have gained an increasing interest for the treatment of chronic pain syndromes during the last few decades. In this review, the development and clinical aspects of epidural injections, epiduroscopy, facet denervaion, intradiscal applications, vertebroplasty, sympathetic neurolysis, and central and peripheral continuous infusion techniques are discussed.
区域麻醉技术用于疼痛治疗已有一个多世纪。尽管其在急性疼痛状况（如术中、术后及创伤性疼痛）中的应用已被广泛接受，但在慢性疼痛综合征的应用方面，从业者之间仍未达成共识。在过去几十年中，大多源自区域麻醉技术的介入技术在慢性疼痛综合征的治疗中越来越受到关注。在本综述中，将讨论硬膜外注射、硬膜外镜检查、小关节去神经术、椎间盘内应用、椎体成形术、交感神经松解术以及中枢和外周持续输注技术的发展及临床应用。
