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[背根入髓区热凝术失败后降钙素的静脉应用]

[Intravenous application of calcitonin following unsuccessful thermocoagulation of the dorsal root entry zone].

作者信息

Waschke K, Lindig M, Schmucker P

机构信息

Institut für Anaesthesiologie, Medizinische Universität zu Lübeck.

出版信息

Anaesthesiol Reanim. 1991;16(5):299-304.

PMID:1741902
Abstract

Following a traumatic lesion of the brachial plexus, severe pain syndrome in the left shoulder and arm developed in a 42-year-old patient. The pain could not be relieved by multiple therapeutic attempts. Therefore, electrocoagulation of the substantia gelatinosa was performed on the affected side of the evulsed plexus from the dorsal aspect of the cervical spinal cord (Dorsal-Root-Entry-Zone-Lesion, DREZ-operation). After temporary relief, the initial pain syndrome returned. Intravenous salmon-calcitonin infusions administered at our pain clinic led to almost complete remission of pain. Six months later the original symptoms returned and therefore the same infusion scheme was repeated with identical results.

摘要

一名42岁患者在臂丛神经受到创伤性损伤后,左肩和手臂出现了严重疼痛综合征。经过多次治疗尝试,疼痛仍无法缓解。因此,从颈脊髓背侧对撕脱性神经丛的患侧进行了胶状质电凝术(背根入区损伤,DREZ手术)。短暂缓解后,最初的疼痛综合征又复发了。在我们的疼痛诊所进行静脉注射鲑鱼降钙素后,疼痛几乎完全缓解。六个月后,原来的症状再次出现,因此重复了相同的输液方案,结果相同。

相似文献

1
[Intravenous application of calcitonin following unsuccessful thermocoagulation of the dorsal root entry zone].[背根入髓区热凝术失败后降钙素的静脉应用]
Anaesthesiol Reanim. 1991;16(5):299-304.
2
Dorsal root entry zone (DREZ) localization using direct spinal cord stimulation can improve results of the DREZ thermocoagulation procedure for intractable pain relief.使用直接脊髓刺激进行背根入髓区(DREZ)定位可改善DREZ热凝术缓解顽固性疼痛的效果。
Pain. 2005 Jul;116(1-2):159-63. doi: 10.1016/j.pain.2005.03.015.
3
Thermocoagulation of the dorsal root entry zone for the treatment of intractable pain.用于治疗顽固性疼痛的背根入髓区热凝术。
Neurosurgery. 1984 Dec;15(6):953-5.
4
[The effect of DREZ (dorsal root entry zone) lesions on intractable pain in patients with spinal cord injury].[脊髓背根入髓区(DREZ)损伤对脊髓损伤患者顽固性疼痛的影响]
Masui. 1990 May;39(5):632-8.
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Is the substantia gelatinosa the target in dorsal root entry zone lesions? An autopsy report.胶状质是背根入髓区损伤的靶点吗?一份尸检报告。
Neurosurgery. 1984 Dec;15(6):913-6.
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Treatment of refractory pain after brachial plexus avulsion with dorsal root entry zone lesions.采用背根入髓区损伤治疗臂丛神经撕脱伤后的顽固性疼痛。
Neurosurgery. 2001 Jun;48(6):1269-75; discussion 1275-7.
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Dorsal root entry zone radiofrequency lesion for pain relief in brachial plexus avulsion.用于缓解臂丛神经撕脱伤疼痛的背根入髓区射频毁损术
N Z Med J. 1986 Nov 12;99(813):851-3.
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Current status of the DREZ operation: 1984.脊髓背根入髓区手术的现状:1984年。
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