Schilling K
Zentralbl Chir. 1985;110(2-3):177-85.
After exploiting all causal therapies there are other therapeutic methods only for soothing, viz. anodyne drug therapy using peripheral or central efficient analgesics, opiates and opioids as well. Procedures with destructing the pain-sensitive nerve path (chemical neurolysis using a method like conduction anaesthesia) and blockage of the sympathetic trunk and plexus coeliacus are preferred against intrathecal rhizolysis. Operative: Percutaneous cervical chordotomy. If insufficient analgesia results by these methods patients may get a peridural long acting catheter for applying local anaesthetics and/or opioide/opiate. Special importance is attached to the psychological care of all these patients.
在采用所有病因治疗方法之后，还有其他仅用于缓解的治疗方法，即使用外周或中枢有效镇痛药、阿片类药物和阿片样物质的止痛药物治疗。与鞘内神经根切断术相比，破坏痛觉敏感神经通路的操作（如采用传导麻醉方法进行化学神经溶解）以及阻断交感干和腹腔丛更受青睐。手术治疗：经皮颈髓切断术。如果这些方法导致镇痛不足，患者可置入硬膜外长效导管以应用局部麻醉药和/或阿片样物质/阿片类药物。对所有这些患者的心理护理尤为重要。
