Schliack H, Schramm J, Neidhardt J
J Neurol. 1986 Apr;233(2):115-7. doi: 10.1007/BF00313857.
Our recent experience stimulated a review of selective rhizotomies for the alleviation of localized pain. Three patients with postoperative neuralgia in the inguinal region and two with neoplastic root compression were treated. Results were good and long-lasting in two cases, moderate in two and poor in one case. The relief appeared to better, the more clearly the pain was localized. In lesions distal to the spinal root it is necessary to undertake selective paravertebral root blocks with local anaesthetics. Experimental data are discussed that help in an understanding of pain recurrence after rhizotomy.
我们最近的经验促使我们对选择性脊神经根切断术缓解局部疼痛进行了回顾。对3例腹股沟区术后神经痛患者和2例肿瘤性神经根受压患者进行了治疗。2例效果良好且持久,2例效果中等,1例效果较差。疼痛定位越清晰,缓解效果似乎越好。对于脊髓神经根远端的病变,有必要用局部麻醉剂进行选择性椎旁神经根阻滞。文中讨论了有助于理解脊神经根切断术后疼痛复发的实验数据。