Bernard E J, Nashold B S, Caputi F
Division of Neurosurgery, Duke University Medical Center, Durham, N.C.
Appl Neurophysiol. 1988;51(2-5):218-24. doi: 10.1159/000099966.
Twenty-seven patients with intractable facial pain underwent dorsal root entry zone thermocoagulation lesion of the nucleus caudalis of the spinal trigeminal nucleus. Retrospective review revealed a success rate of 85% in the immediate postoperative period declining to 52% on subsequent follow-up. The best results were in the subgroup of patients with postherpetic neuralgia, of which 67% achieved definite relief. There tended to be some correlation of satisfactory results and pain quality as well as extent of pain along trigeminal territory. The operative morbidity was low although most patients were observed to have a mild transient ipsilateral dysmetria.
27例顽固性面部疼痛患者接受了脊髓三叉神经核尾侧亚核的背根入髓区热凝毁损术。回顾性研究发现，术后即刻成功率为85%，后续随访时降至52%。疱疹后神经痛亚组患者的效果最佳，其中67%获得了明确缓解。满意的结果与疼痛性质以及三叉神经分布区域的疼痛范围之间往往存在一定相关性。尽管大多数患者被观察到有轻度短暂同侧共济失调，但手术发病率较低。
