中晚期强直性脊椎炎顽固性脊椎疼痛手术止痛治疗

目的：初步探讨中晚期强直性脊椎炎顽固性脊椎疼痛手术痛治疗的机制。方法：采用选择性脊神经后内侧支切断、棘上棘间韧带及椎间关节囊或／及骶骼关节囊切除的手术方法。结果：自１９８７年３月以来共收治本病６４例，术后经１～１０年随访，按术后脊椎疼痛降低的程度进行评定，有效率为９６。９％，优良率为８５．９％。结论：中晚期强直性脊椎炎顽固性脊椎疼痛主要由几方面原因引起。其中重要的原因就是脊神经后内侧支受到脊椎炎异

The Analgesic Treatment of the Intractable Spondylalgia of Mid-later Ankylosing Spondylitis with the Surgical Operation

Objective: To explore the mechanism of the analgesic treatment of the intractable spondylalgia of the mid later ankylosing spondylitis with the surgical operation.Methods: Applied the operations including the selective apocope of posteromedial rami of the spinal nerves,the excisions of supraspinal ligament and interspinous ligament and interspinal joint capsule or sacro iliac joint capsule.Results: This technique had been applied to 64 patients since Mar.1987.Follow up pcriod was 1 10 years According to the extent of the postoperative spondylalgia relief,evaluation of effective rate 96.9% and the excellent and good results were 85.9%.Conclusions: There are several causes for the intractablc spondylalgia of the mid later ankyloing spondylitis One of the important causes was that the posteromedial rami of spinal nerves were impacted by the abnormal osteophytes of spondylitis,lead to the impacted rami of spinal nerves supply vertebras to produce the intractablc spondylalgia. The method is simplc and worthwhile.For the mid later paticnts who conscrvativc treatment was no effect for long term,it can relieve effectively the intractable spondylalgia and avoid the secondary effect that antirheumatic was taken for a long time. It is value able for clinical application.