药物难治性股外侧皮神经痛和髂腹股沟神经痛的管理
Management of medically intractable genitofemoral and ilioingunal neuralgia.
作者信息
Acar Feridun, Ozdemir Mevci, Bayrakli Fatih, Cirak Bayram, Coskun Erdal, Burchiel Kim
机构信息
Pamukkale University, Faculty of Medicine, Department of Neurosurgery, Denizli, Turkey.
出版信息
Turk Neurosurg. 2013;23(6):753-7. doi: 10.5137/1019-5149.JTN.7754-12.0.
AIM
To evaluate the effectiveness of invasive procedures in medically intractable genitofemoral and ilioingunal neuralgia.
MATERIAL AND METHODS
This is a prospective study of 20 patients with genitofemoral and ilioinguinal neuralgias who were treated at our medical center between 2007 and 2011. Genitofemoral and ilioinguinal nerve blocks were performed in all cases after medical treatment had failed to alleviate the patients' pain. Neurectomy was performed for the patients whose pain did not improve. Patient histories, physical examinations and visual analogue scale scores before and after treatments were analyzed.
RESULTS
Fourteen (70%) of the patients were treated with nerve blocks and six (30%) of the patients whose pain did not improve with nerve block application underwent neurectomy which resulted in pain relief.
CONCLUSION
For patients with medically intractable genitofemoral and ilioinguinal neuralgias, nerve blocks and neurectomies can be applied safely for pain control.
目的
评估侵入性手术治疗药物难治性股外侧皮神经痛和髂腹股沟神经痛的有效性。
材料与方法
这是一项对20例股外侧皮神经痛和髂腹股沟神经痛患者的前瞻性研究，这些患者于2007年至2011年在我们的医疗中心接受治疗。在药物治疗未能缓解患者疼痛后，对所有病例均实施了股外侧皮神经和髂腹股沟神经阻滞。对疼痛未改善的患者进行了神经切除术。分析了患者的病史、体格检查以及治疗前后的视觉模拟评分。
结果
14例（70%）患者接受了神经阻滞治疗，6例（30%）经神经阻滞治疗疼痛未改善的患者接受了神经切除术，术后疼痛缓解。
结论
对于药物难治性股外侧皮神经痛和髂腹股沟神经痛患者，神经阻滞和神经切除术可安全用于控制疼痛。
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