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[通过向瘢痕内注射局部麻醉剂治疗慢性良性疼痛的经验]

[Our experiences in chronic benign pain by injecting local anaesthetic into scars].

作者信息

Barbagli P, Bollettin R

机构信息

A.P.S.S. Trento, Distretto Alto Garda e Ledro, Ambulatorio di Terapia Antalgica, Riva del Garda (TN), A.I.R.A.S. (Associazione Italiana per la Ricerca e l'Aggiornamento Scientifico), c/o Istituto di Anestesiologia e Rianimazione dell'Università di Padova, Italia.

出版信息

Clin Ter. 2009;160(6):445-9.

PMID:20198285
Abstract

OBJECTIVES

To refer a possible resolving treatment of chronic benign pain by injecting local anaesthetics into scars.

MATERIALS AND METHODS

This original article consists of 7 interesting cases who have been extracted by a group of 2145 patients treated with local anaesthetic (lidocaine 0.5-1%), of one or more than one scar.

RESULTS

The clinical and therapeutical data of a 2 years follow up show that in these 7 cases of chronic benign pain, treated by injecting local anaesthetic (lidocaine 0.5-1%) into one or more scars, the algic symptomatology stably disappeared.

CONCLUSIONS

This record of cases confirms the hypothesis of a possible aetiological role of scars in causing benign chronic painful syndromes, as stated by Brothers Huneke in the 40's and validated by a recent review on the topic.

摘要

目的

探讨通过向瘢痕内注射局部麻醉药来治疗慢性良性疼痛的一种可能有效的方法。

材料与方法

这篇原创文章包含7个有趣的病例,这些病例是从一组2145例接受局部麻醉药(0.5 - 1%利多卡因)治疗一处或多处瘢痕的患者中挑选出来的。

结果

两年随访的临床和治疗数据显示,在这7例慢性良性疼痛患者中,通过向一处或多处瘢痕内注射局部麻醉药(0.5 - 1%利多卡因),疼痛症状稳定消失。

结论

本病例记录证实了瘢痕在引起良性慢性疼痛综合征中可能具有病因学作用这一假说,正如布罗斯·胡内克在40年代所提出的,并得到了近期该主题综述的验证。

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