可视化引导下腰2交感神经节阻滞治疗下肢Buerger's病顽固性疼痛  

Visualization Style for Blocking the Second Lumbar Sympathetic Ganglion for the Patients with Buerger's Disease of Lowerlimb

作　　者：徐晨婕[1] 鲍红光[1] 史宏伟[1] 宰天明[2] 陆伟萍[1] 

机构地区：[1]南京医科大学附属南京第一医院麻醉科,江苏南京210006 [2]南京医科大学附属南京第一医院影像科,江苏南京210006

出　　处：《现代生物医学进展》2011年第24期4905-4907,共3页Progress in Modern Biomedicine

基　　金：2010年度南京医科大学科技发展基金项目资助(2010NJMU054)

摘　　要：目的:观察C型臂下腰2交感神经节阻滞治疗下肢血栓闭塞性脉管炎(下肢Buerger's病)神经病理性疼痛的疗效。方法:50例Buerger's病患者随机分为治疗组及对照组,在C型臂机X线引导下行患侧腰2交感神经节阻滞。结果:治疗组与对照组相比,疼痛明显缓解,视觉模拟评分(VAS)显著下降,皮肤温度明显升高,且无其他并发症发生。结论:腰2交感神经节阻滞对下肢血栓闭塞性脉管炎(下肢Buerger's病)神经病理性疼痛有较好的治疗效果。Objective： To observe the therapeutic effect of C-arm-guided radiofrequency blocking the second lumbar sympathetic ganglion for the patients with Buerger＇s disease of lower limb.Methods： In 50 patients who had painful Buerger＇s disease of lower limb,25 were treated with blocking the second lumbar sympathetic ganglion,25 were treated with gabapentin as control group.VAS score,the skin temperature on the lower limb,and the level of plasmaβ-EP were evaluated.Results： The C-arm-guided ganglian blocking signifi-cantly relieved the refractory pain of the patients,increased the skin temperature（P 0.01）and decreased VAS（P 0.01）.No other complications occurred except for temporary genitofemoral neuralgia.Conclusion： It is effective that the second lumbar sympathetic gan-glion has been blocked for the patients with Buerger＇s disease of lower limb.

关 键 词：腰交感神经节 阻滞 Buerger's病 疼痛 

分 类 号：R654.4[医药卫生—外科学]