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用于治疗与脊髓和周围神经损伤相关的去传入性疼痛的脊髓背根入髓区凝固术:79例连续手术的适应症及结果

DREZ coagulations for deafferentation pain related to spinal and peripheral nerve lesions: indication and results of 79 consecutive procedures.

作者信息

Rath S A, Seitz K, Soliman N, Kahamba J F, Antoniadis G, Richter H P

机构信息

Department of Neurosurgery, University of Ulm, Günzburg, Germany.

出版信息

Stereotact Funct Neurosurg. 1997;68(1-4 Pt 1):161-7. doi: 10.1159/000099917.

DOI:10.1159/000099917
PMID:9711710
Abstract

During a 16 years' period, a total of 79 dorsal root entry zone coagulations were performed in 68 patients for deafferentation pain. Of the 23 patients who underwent surgery for pain due to cervical root avulsion, 18 (82%) had a good (12) or fair (6) pain relief (mean follow-up period 51 months). Twelve (57%) patients with spinal cord injuries noted continuous pain reduction (10 good, 2 fair; mean follow-up 52 months). Continuous marked improvement for longer periods was reported only by 2 out of 10 patients with postherpetic neuralgia and 1 out of 7 patients with painful states due to other brachial plexus lesions and none out of 5 with spinal cord lesions (3) and phantom limb pain (2).

摘要

在16年的时间里,共对68例患者进行了79次背根入髓区凝固术以治疗去传入性疼痛。在23例因颈神经根撕脱伤而接受疼痛手术的患者中,18例(82%)疼痛得到良好(12例)或尚可(6例)缓解(平均随访期51个月)。12例(57%)脊髓损伤患者疼痛持续减轻(10例良好,2例尚可;平均随访52个月)。仅10例带状疱疹后神经痛患者中的2例、7例其他臂丛神经损伤所致疼痛状态患者中的1例报告有较长时间的持续显著改善,而5例脊髓损伤(3例)和幻肢痛(2例)患者均未出现这种情况。

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