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[颈段脊髓束切断术,切断第V、IX、X和VII神经,并在面颈部恶性肿瘤所致顽固性疼痛中进行相应的神经根切断术]

[Cervical tractotomy V, IX, X and VII and accompanying rhizotomy in incurable pain due to malignant tumors of the facial-cervical reagion].

作者信息

Mracek Z

出版信息

Zentralbl Neurochir. 1978;39(3):311-6.

PMID:86250
Abstract

For the elimination of incurable pain in the faciocervical region caused by malignant tumours a transverse separation of the tract of the cerebral nerves V, IX, X and VII is carried out after minute stimulation at several levels under local anaesthesia. In addition, the sensitive cervical roots 1 to 3 are severed. The extent of the separation depends on the extent of the painful region and the effect of the individual separations. The method was successfully employed in 13 patients: 4 laryngeal carcinomas, 2 parotid carcinomas, 2 tongue carcinomas, 1 carcinoma of the pharynx, 1 of the maxilla, 1 of the lip, 1 of the tonsil and 1 of the Os occipitale, in most cases with submandibular metastases.

摘要

为消除恶性肿瘤所致面颈部无法治愈的疼痛,在局部麻醉下,于多个层面进行细微刺激后,对脑神经Ⅴ、Ⅸ、Ⅹ和Ⅶ的走行进行横向分离。此外,切断颈1至3感觉神经根。分离范围取决于疼痛区域的范围及各个分离操作的效果。该方法成功应用于13例患者:4例喉癌、2例腮腺癌、2例舌癌、1例咽癌、1例上颌骨癌、1例唇癌、1例扁桃体癌和1例枕骨癌,多数病例伴有下颌下转移。

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