Victor Horsley Department of Neurosurgery, The National Hospital for Neurology and Neurosurgery, London, United Kingdom.
University College London (UCL) Medical School, London, United Kingdom.
Oper Neurosurg (Hagerstown). 2021 Mar 15;20(4):324-333. doi: 10.1093/ons/opaa447.
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.
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。