应用脊神经后根入髓区毁损术治疗截瘫后顽固性疼痛  

Destructive operation on dorsal root entry zone （DREZ） for obstinate pain after paraplegia

作　　者：刘建杰[1] 孙明礼[1] 苏兰海[1] 孟庆恒[1] 路平[1] 高伟[1] 刘赢[2] 魏巍[2] 

机构地区：[1]海洋石油总医院神经外科研究所 ,塘沽300452 [2]黑龙江省农垦总医院神经外科

出　　处：《中华神经外科杂志》2009年第11期1013-1015,共3页Chinese Journal of Neurosurgery

摘　　要：目的探讨脊神经后根入髓区（DREZ）毁损术治疗截瘫后顽固性疼痛的手术方法和疗效。方法对截瘫后伴有残肢痛和幻肢痛的8例患者实施相应节段DREZ毁损术，并进行术后3个月、6个月、12个月的随访，平均6．6个月。结果8例患者疼痛都有不同程度的缓解，其中完全缓解6例。结论脊神经后根DREZ毁损术治疗伴有脊髓损伤和脊神经根撕脱伤的截瘫患者疼痛疗效确切，掌握好手术适应证十分重要。Objective To explore the methods and curative effect of destructive operation on dorsal root entry zone （DREZ） in treatment of obstinate phantom limb and stamp pain after paraplagia. Method 8 patients who suffered from obstinate phantom pain and stamp pain after paraplegia were performed destruetivc operation on dorsal root entry zone （DREZ） and followed - up for 3,6 and 12 months after operation, average 6. 6 months. Results The pain of 8 patients was alleviated at different levels and 6 patients got absolute alleviation. Conclusions The destructive operation on DREZ is tremendously effective for patients with obstinate phantom limb pain and stamp pain after paraplagia because of spinal cord injure and/or avulsion of roots of spinal cord. It is very crucial to choose the appropriate patients for surgery.

关 键 词：脊神经根 疼痛 顽固性 残肢痛 幻肢痛 

分 类 号：R686[医药卫生—骨科学]