摘要
报告２０８６例臂丛损伤中４８例伴有灼性神经痛（占２．３％），其中节前损伤２８例，节后损伤２２例（锁骨下动脉同时损伤、放射性损伤及枪弹性多见）。采用神经减压术，术后疼痛消失者占５０％，但无效者占３３％。神经缝合或移植术术后疼痛消失者占７５％，仅１例（１０％）无效。神经移位术术后疼痛消失者占４６％，无效者３４％。对顽固性的性痛（第一次手术无效者），采用神经根切断术，颈交感神经节切除，丘脑痛觉核立体定向毁损术，术后部分伤病例可缓解疼痛。
AbstractForty-eight crses of causalgia were revie-wed from 2086 patient with brachial plexusinjuries( 2.3%) .26 cases wcre preganglioniciniury, and 22 were post-ganglionic injurywhich were usually accompanied by sldbclav-icular artery injury, radiative injury,and guntrauma. Neurolysis were performed in 12 casesand 50% of them recovered, howeve, one-thirdof them failed. Neurorrhaphy and nerve graf-ting were performed in 10 cases and recoveredexcePt one cases.26 cases of nerve transferhad effective on 46% and 34% of them failed. Rescction of nerve roots or cervical sympath-etic ganglions and ruin of thalamus,pain nucl-eus with stereotaxic instrument were efectiveto some patients with intractable causalgia.
出处
《中华显微外科杂志》
CSCD
北大核心
1994年第4期255-257,共3页
Chinese Journal of Microsurgery
