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计算机断层扫描引导下经皮上胸交感神经链苯酚阻滞:一种新技术。

Percutaneous phenol block of the upper thoracic sympathetic chain with computed tomography guidance. A new technique.

作者信息

Dondelinger R F, Kurdziel J C

机构信息

Department of Radiology, Centre Hospitalier, Luxembourg.

出版信息

Acta Radiol. 1987 Sep-Oct;28(5):511-5.

PMID:2960340
Abstract

Twenty-one percutaneous neurolyses of the upper thoracic sympathetic chain were performed in 12 patients with CT guidance by a single injection of 1 to 3 ml of phenol at the level of Th3. Results were assessed after a follow-up period varying from 4 to 33 months. Three patients with hyperhidrosis had immediate and complete disappearance of symptoms, but only one patient remained dry. In 7/14 procedures done for Raynaud's disease symptoms disappeared or diminished. These long term results are competitive with surgery. Three transitory Horner syndromes and one pneumothorax occurred.

摘要

在CT引导下,对12例患者的上胸交感神经链进行了21次经皮神经溶解术,于T3水平单次注射1至3毫升苯酚。随访时间为4至33个月,对结果进行了评估。3例多汗症患者症状立即完全消失,但只有1例患者保持干爽。在为雷诺病进行的14次手术中,7次症状消失或减轻。这些长期结果与手术相当。发生了3例短暂性霍纳综合征和1例气胸。

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