背根入区凝血术成功治疗幻肢痛。

S C Saris, R P Iacono, B S Nashold
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引用次数: 37

摘要

我们研究了22例因创伤、坏疽或癌症而截肢的患者。所有患者均出现截肢后疼痛,接受了背根进入区(DREZ)手术,并在术后6个月至4年随访。总体而言,22例患者中只有8例(36%)疼痛缓解。然而,9例单独幻肢痛患者中有6例(67%)获得了良好的结果,6例外伤性截肢合并根撕脱伤患者中有5例(83%)获得了良好的结果。同时伴有幻肢痛和残肢痛或仅存在残肢痛的患者的治疗效果较差。DREZ手术在截肢后疼痛的治疗中有明确的作用,但作用有限。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Successful treatment of phantom pain with dorsal root entry zone coagulation.

We studied 22 patients with amputation due to trauma, gangrene, or cancer. All developed postamputation pain, underwent a dorsal root entry zone (DREZ) procedure, and were followed from 6 months to 4 years after surgery. Overall, only 8 (36%) of these 22 patients had pain relief. However, good results were obtained in 6 (67%) of 9 patients with phantom pain alone, and in 5 (83%) of 6 patients with traumatic amputations associated with root avulsion. Poor results were obtained in patients with both phantom and stump pain, or stump pain alone. The DREZ procedure has a well-defined, but limited role in the treatment of postamputation pain.

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