下肢带状疱疹后遗神经痛诊治经过  

The diagnosis and treatment of postherpetic neuralgia in low extremety

作　　者：张挺杰[1] 李君[1] 刘益鸣[1] 冯艺[1] 

机构地区：[1]北京大学人民医院疼痛医学科,100044

出　　处：《国际麻醉学与复苏杂志》2015年第10期919-921,932,共4页International Journal of Anesthesiology and Resuscitation

摘　　要：70岁男性，3月前带状疱疹后右侧臀部及下肢剧烈疼痛，并逐渐出现右侧臀部及下肢冰冷感、发汗障碍，伴肌肉萎缩及活动受限；经口服加巴喷丁、椎管内持续输注镇痛及神经阻滞治疗，症状缓解不明显，诊断为带状疱疹后遗痛合并复杂性区域疼痛综合征。采用右侧腰交感神经节化学毁损治疗，疼痛显著缓解、下肢温度回升、肌肉萎缩及无力症状逐渐改善。One patient suffered from a severe pain of right hip and low extremity after herpes zoster affected three month ago, gradually felt ice-cold , sweating abnormality, combined with muscle dystrophy and limited activity in the same area. Treatments including gabapentin, sustaining epidural drug infusion, and nerve blockade were not effective. After postherpetic neuralgia （PHN） and complex regional pain syndrome （CRPS） was diagnosed, we perfomed the interventional therapy on his right lumbar sympathetic ganglion chemical lesion. After the procedure, the feelings of pain and ice -cold were relieved dramatically, and muscle dystrophy and motor activity were gradually improved.

关 键 词：带状疱疹后遗神经痛 复杂性区域疼痛综合征 腰交感神经节毁损 

分 类 号：R752.12[医药卫生—皮肤病学与性病学]