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针对脊髓神经根性疼痛和腹股沟区神经痛的选择性神经根切断术。

Selective rhizotomies for spinal root pain and neuralgia of the inguinal region.

作者信息

Schliack H, Schramm J, Neidhardt J

出版信息

J Neurol. 1986 Apr;233(2):115-7. doi: 10.1007/BF00313857.

DOI:10.1007/BF00313857
PMID:3701379
Abstract

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.

摘要

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。

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Selective rhizotomies for spinal root pain and neuralgia of the inguinal region.针对脊髓神经根性疼痛和腹股沟区神经痛的选择性神经根切断术。
J Neurol. 1986 Apr;233(2):115-7. doi: 10.1007/BF00313857.
2
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本文引用的文献

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A Case in which Acute Spasmodic Pain in the Left Lower Extremity was completely relieved by Sub-dural Division of the Posterior Roots of certain Spinal Nerves, all other treatment having proved useless. Death from Sudden Collapse and Cerebral Hæmorrhage on the Twelfth Day after the Operation, at the commencement of Apparent Convalescence.一例左下肢急性痉挛性疼痛经某些脊神经后根硬脊膜下切断术完全缓解的病例,此前所有其他治疗均无效。术后第十二天,在明显康复开始时,因突然虚脱和脑出血死亡。
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Dorsal root rhizotomy and avulsion in the cat: a comparison of long term effects on dorsal horn neuronal activity.猫的背根神经根切断术和撕脱术:对背角神经元活动长期影响的比较
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Chronic deafferentation of human spinal cord neurons.人类脊髓神经元的慢性传入神经阻滞
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Distribution of the dorsal root fibers in the cat. An experimental study with the Nauta method.猫背根纤维的分布。用纳乌塔法进行的实验研究。
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Posterior spinal rhizotomy: a substitute for cordotomy in the relief of localized pain in patients with normal life-expectancy.后脊髓神经根切断术:在预期寿命正常的患者中替代脊髓切开术以缓解局部疼痛。
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[Femoral nerve paresis as a complication of gynaecological operations (author's transl)].股神经麻痹作为妇科手术的一种并发症(作者译)
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[Ilioinguinal syndrome].[髂腹股沟综合征]
Nervenarzt. 1971 Dec;42(12):637-40.