腰椎间盘病变行椎板切除术后疼痛的管理。
The management of pain following laminectomy for lumbar disc lesions.
作者信息
Martin G
出版信息
Ann R Coll Surg Engl. 1981 Jul;63(4):244-52.
Abstract
Assessment of the results of laminectomy for lumbar disc lesions is unsatisfactory, but it seems that some degree of recurrent pain is virtually inevitable. The clinical features and incidence of the various painful syndromes seen in these patients, including one, the sacro-spinalis insertion syndrome, which has not previously been described, are outlined and the management of each is discussed with reference to two personal series, one of 98 patients consecutively undergoing laminectomy and the other of 35 patients referred because of recurrent pain following laminectomy. Finally, problems of prophylaxis are considered.
摘要
对腰椎间盘病变行椎板切除术的结果评估并不理想，但似乎某种程度的复发性疼痛实际上是不可避免的。本文概述了这些患者中出现的各种疼痛综合征的临床特征和发生率，包括一种此前未被描述过的骶棘肌附着点综合征，并参照两个个人病例系列讨论了每种综合征的处理方法，其中一个系列为98例连续接受椎板切除术的患者，另一个系列为35例因椎板切除术后复发性疼痛前来就诊的患者。最后，对预防问题进行了探讨。
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