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经皮脊柱神经根入区切断术治疗臂丛神经根性撕脱伤:全面文献综述。

Dorsal Root Entry Zone Lesioning for Brachial Plexus Avulsion: A Comprehensive Literature Review.

机构信息

Victor Horsley Department of Neurosurgery, The National Hospital for Neurology and Neurosurgery, London, United Kingdom.

University College London (UCL) Medical School, London, United Kingdom.

出版信息

Oper Neurosurg (Hagerstown). 2021 Mar 15;20(4):324-333. doi: 10.1093/ons/opaa447.

DOI:10.1093/ons/opaa447
PMID:33469654
Abstract

Dorsal root entry zone (DREZ) lesioning is a neurosurgical procedure that aims to relieve severe neuropathic pain in patients with brachial plexus avulsion by selectively destroying nociceptive neural structures in the posterior cervical spinal cord. Since the introduction of the procedure over 4 decades ago, the DREZ lesioning technique has undergone numerous modifications, with a variety of center- and surgeon-dependent technical differences and patient outcomes. We have reviewed the literature to discuss reported methods of DREZ lesioning and outcomes.

摘要

背根入区(DREZ)损毁术是一种神经外科手术,通过选择性破坏后颈脊髓中的伤害性神经结构,旨在缓解臂丛神经撕脱伤患者的严重神经性疼痛。自 40 多年前引入该手术以来,DREZ 损毁技术经历了多次改进,存在各种与中心和外科医生相关的技术差异以及患者结局。我们回顾了文献,讨论了报告的 DREZ 损毁方法和结果。

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1
Dorsal Root Entry Zone Lesioning for Brachial Plexus Avulsion: A Comprehensive Literature Review.经皮脊柱神经根入区切断术治疗臂丛神经根性撕脱伤:全面文献综述。
Oper Neurosurg (Hagerstown). 2021 Mar 15;20(4):324-333. doi: 10.1093/ons/opaa447.
2
Correlation of preoperative MRI with the long-term outcomes of dorsal root entry zone lesioning for brachial plexus avulsion pain.术前磁共振成像与臂丛神经撕脱伤疼痛的背根入髓区毁损术长期疗效的相关性
J Neurosurg. 2016 May;124(5):1470-8. doi: 10.3171/2015.2.JNS142572. Epub 2015 Sep 25.
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Dorsal Root Entry Zone Lesioning for the Treatment of Pain After Brachial Plexus Avulsion Injury: 2-Dimensional Operative Video and Technical Report.经皮脊神经根入区切断术治疗臂丛神经撕脱伤后疼痛:二维手术视频及技术报告。
Oper Neurosurg (Hagerstown). 2022 Jun 1;22(6):e252-e258. doi: 10.1227/ons.0000000000000149. Epub 2022 Apr 14.
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Dorsal root entry zone lesioning for brachial plexus avulsion - technical evolution and long-term follow-up.臂丛神经撕脱伤的背根入髓区毁损术——技术进展与长期随访
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Dorsal Root Entry Zone (DREZ) Lesioning for Brachial Neuralgia.背根入区(DREZ)切断术治疗臂丛神经痛。
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Spinal and Nucleus Caudalis Dorsal Root Entry Zone Lesioning for Chronic Pain: Efficacy and Outcomes.脊髓与尾状核背根入髓区损伤治疗慢性疼痛:疗效与结果
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Microsurgical lesioning in the dorsal root entry zone for pain due to brachial plexus avulsion: a prospective series of 55 patients.臂丛神经撕脱伤所致疼痛的背根入髓区显微手术损伤:55例患者的前瞻性系列研究
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Intraoperative Neurophysiological Monitoring (Motor and Somatosensory Evoked Potentials) in Dorsal Root Entry Zone Lesioning for Brachial Plexus Avulsion Pain.臂丛神经撕脱伤疼痛的背根入髓区毁损术中的神经生理监测(运动和体感诱发电位)
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Changes in spontaneous dorsal horn potentials after dorsal root entry zone lesioning in patients with pain after brachial plexus avulsion.臂丛神经撕脱伤后疼痛患者背根入髓区损伤后背角自发电位的变化
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引用本文的文献

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2
Anatomical damages in the spinal nerve roots and the spinal cord after brachial plexus injury: descriptive study from a cohort of consecutive patients who underwent DREZ-lesioning for pain-practical implications.臂丛神经损伤后脊髓神经根和脊髓的解剖学损伤:对一组因疼痛而接受脊髓后角毁损术的连续患者的描述性研究——实际意义
Acta Neurochir (Wien). 2024 May 2;166(1):201. doi: 10.1007/s00701-024-06063-5.
3
Surgical Neuromodulation of Traumatic Brachial Plexus Injuries a Systematic Review and Meta-analysis.
外伤性臂丛神经损伤的手术神经调节:系统评价和荟萃分析。
Med Arch. 2023;77(5):370-376. doi: 10.5455/medarh.2023.77.370-376.
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Dorsal root entry zone lesioning for brachial plexus avulsion pain: a case series.背根入区切断术治疗臂丛神经撕脱伤后疼痛:病例系列研究。
Spinal Cord Ser Cases. 2023 Mar 9;9(1):6. doi: 10.1038/s41394-023-00564-8.
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J Neurosurg Case Lessons. 2022 Oct 24;4(17). doi: 10.3171/CASE22145.
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