Arbit E, Galicich J H, Burt M, Mallya K
Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, New York.
Ann Thorac Surg. 1989 Dec;48(6):820-3. doi: 10.1016/0003-4975(89)90677-2.
We describe the surgical technique of modified open thoracic rhizotomy for treatment of intractable chest wall pain of malignant etiology. In a series of 14 patients, 9 (64%) had an excellent result, 4 (29%) had a good result, and 1 (7%) had a poor result. Successful palliation was made possible by identification with computed tomographic scan or magnetic resonance imaging of the nerve roots involved. Pain control lasted in most patients until death (median, 22 weeks; range, 6 to 45 weeks). The extrathecal procedure described has certain advantages over intradural transection of nerve roots. Indications for performing this procedure are discussed along with other therapeutic options.
我们描述了改良开放性胸廓神经根切断术治疗恶性病因所致顽固性胸壁疼痛的手术技术。在一组14例患者中，9例（64%）效果极佳，4例（29%）效果良好，1例（7%）效果不佳。通过计算机断层扫描或磁共振成像识别受累神经根，实现了成功的姑息治疗。大多数患者的疼痛控制一直持续到死亡（中位数为22周；范围为6至45周）。所描述的鞘外手术与神经根的硬膜内横断术相比具有某些优势。本文讨论了进行该手术的适应症以及其他治疗选择。
