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鞘内注射阿霉素后离断三叉神经治疗带状疱疹后疼痛
引用本文:周昌龙,郑英,张引成,王永盛,张建伟. 鞘内注射阿霉素后离断三叉神经治疗带状疱疹后疼痛[J]. 口腔医学, 2008, 28(10)
作者姓名:周昌龙  郑英  张引成  王永盛  张建伟
作者单位:宁波市医疗中心李惠利医院口腔科,宁波,315041;西安交通大学口腔医,学院口腔颌面外科,西安,710006
摘    要:目的观察阿霉素对三叉神经分布区带状疱疹后疼痛(PHN)的镇痛效果。方法对24患者用1%阿霉素直接注射至PHN相应分支的神经干,观察皮肤症状和异常性疼痛,于术后3d、7d、3个月进行评价。结果术后取得了95.8%的疗效,术后3d有效17例,缓解5例,无改善1例;术后7d有效23例,无效1例;术后3月有效23例,无效病例失访。有效病例在3~24个月内均无复发。结论阿霉素神经鞘内注射后,能有效的消除三叉神经分布区PHN,近期疗效较好。

关 键 词:带状疱疹  阿霉素  三叉神经  带状疱疹后疼痛

Injection of adriamycin into trigeminal nerve to cure postherpetic neuralgia
ZHOU Chang-long,ZHENG Ying,ZHANG Yin-cheng,WANG Yong-sheng,ZHANG Jian-wei. Injection of adriamycin into trigeminal nerve to cure postherpetic neuralgia[J]. Stomatology, 2008, 28(10)
Authors:ZHOU Chang-long  ZHENG Ying  ZHANG Yin-cheng  WANG Yong-sheng  ZHANG Jian-wei
Affiliation:ZHOU Chang-long,ZHENG Ying,ZHANG Yin-cheng,WANG Yong-sheng,ZHANG Jian-wei.(Department of Stomatology,Ningbo Medical Center & Lihuili Hospital,Ningbo 315041,China)
Abstract:Objective To observe the antalgic effects of adriamycin on the Postherpetic Neuralgia(PHN)of trigeminal nerve region in humans.Methods 6 mg of 1g/L adriamycin was injected respectively into the PHN branch of trigeminal nerve in 24 cases to observe the dermal symptoms and abnormal pain and evaluate the effects after 3 days,7 days and 3 months.Results 95.8% of the cases were effective after the operation.On day 3,17 cases were effective,5 cases catabatic,1 case noneffective;on day 7,23 cases were effective,1 ...
Keywords:herpes zoster  adriamycin  trigeminal nerve  postherpetic neuralgia(PHN)  
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