Suzuki Hajime, Ogawa Setsuro, Nakagawa Heihachi, Kanayama Toshiyoshi, Taj Koki, Saitoh Hideo, Ohshima Yasue
Department of Anesthesiology and Pain Clinic, Surugadai Nihon University Hospital, 1-8-13, Kanda-Surugadai, Chiyoda-ku, Tokyo Japan.
Pain. 1980 Dec;9(3):355-362. doi: 10.1016/0304-3959(80)90049-4.
Fourteen patients whose post-herpetic neuralgia could not be alleviated by conventional methods were treated with cryocautery using a stick of solid carbon dioxide (dry ice) applied directly to the hyperesthetic skin areas of the cutaneous scars. Follow-up evaluation revealed that 5 of 14 subjects maintained excellent pain relief and another 5 subjects showed good relief. Ten subjects discontinued further therapeutic procedures after cryocautery even though some low grade pain persisted. We believe that cryocautery of localized skin areas is a valuable method for treating patients with post-herpetic neuralgia who have not been improved by conventional methods. Disadvantages of this procedure are discussed.
14例采用传统方法无法缓解带状疱疹后神经痛的患者，使用固态二氧化碳棒（干冰）直接敷于皮肤瘢痕的感觉过敏区域进行冷冻烧灼治疗。随访评估显示，14名受试者中有5名疼痛得到极佳缓解，另有5名受试者疼痛得到良好缓解。10名受试者在冷冻烧灼后停止了进一步治疗，尽管仍有一些轻度疼痛持续存在。我们认为，对局部皮肤区域进行冷冻烧灼是治疗采用传统方法未获改善的带状疱疹后神经痛患者的一种有效方法。本文讨论了该治疗方法的不足之处。
