Yamagami H, Hashizume K, Shimokawa M, Furuya H, Okuda T
Department of Anesthesiology, Nara Medical University, Kashihara.
Masui. 1995 Sep;44(9):1277-81.
We have analyzed therapeutic effects of selective radicular block for 30 patients of reflex sympathetic dystrophy with residual intractable pain after neurolytic sympathetic ganglion blockade. Ten patients showed complete pain relief after the therapy with a effective rate of 66.7%. Minor side effects were observed in 3 cases (10%). When examined 2 month after the therapy, the effect had persisted in 16 cases in successful 20 cases. The therapy could not relieve complaints induced by numbness and neuroma. By the therapy, patients with diffuse pain were more comfortable than patients with regional pain. In indicated cases, this therapy is useful for residual complain of reflex sympathetic dystrophy after neurolytic sympathetic ganglion block.
我们分析了选择性神经根阻滞对30例在神经溶解性交感神经节阻滞后仍残留顽固性疼痛的反射性交感神经营养不良患者的治疗效果。10例患者治疗后疼痛完全缓解，有效率为66.7%。3例（10%）出现轻微副作用。治疗后2个月检查时，20例成功患者中有16例效果持续存在。该治疗无法缓解由麻木和神经瘤引起的症状。通过该治疗，弥漫性疼痛患者比局限性疼痛患者感觉更舒适。在特定病例中，这种治疗方法对于神经溶解性交感神经节阻滞后反射性交感神经营养不良的残留症状是有用的。
