| 术中背根神经节阻滞控制腰椎手术后疼痛综合征 |
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| 引用本文： | 王永祥,王静成,顾德毅,袁峰,蒋百川,冯新民,顾加祥.术中背根神经节阻滞控制腰椎手术后疼痛综合征[J].徐州医学院学报,2010,30(2):111-113. |
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| 作者姓名： | 王永祥 王静成 顾德毅 袁峰 蒋百川 冯新民 顾加祥 |
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| 作者单位： | 1. 扬州大学附属医院骨科,江苏,扬州,225001
2. 徐州医学院附属医院骨科,江苏,徐州,221002 |
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| 基金项目： | 江苏省卫生厅资助项目 |
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| 摘 要： | 目的探讨背根神经节内注射药物对控制腰椎手术后疼痛综合征（FBSS）的作用。方法69例腰椎间盘突出症患者行髓核摘除术,分为神经节阻滞组32例,鞘内注射0.75%布比卡因和地塞米松阻滞背根神经节;对照组37例,不作背根神经节阻滞。分别观察术后不同时间2组腰臀部和双下肢疼痛、VAS评分及受累神经根功能情况。结果神经节阻滞组药物止痛剂用量小、术后功能恢复快。对照组仍有部分患者存在术后近期疼痛。神经节阻滞组术后VAS评分明显低于对照组（P〈0.05）。结论术中背根神经节阻滞能有效控制FBSS。
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| 关 键 词： | 腰椎手术后疼痛综合征 背根神经节 阻滞麻醉 |
Effect of intraoperative block of dorsal root ganglion on failed back surgery syndrome |
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| WANG Yongxiang,WANG Jingcheng,GU Deyi,YUAN Feng,JIANG Baichuan,FENG Xinmin,GU Jiaxiang.Effect of intraoperative block of dorsal root ganglion on failed back surgery syndrome[J].Acta Academiae Medicinae Xuzhou,2010,30(2):111-113. |
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| Authors: | WANG Yongxiang WANG Jingcheng GU Deyi YUAN Feng JIANG Baichuan FENG Xinmin GU Jiaxiang |
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| Institution: | WANG Yongxiang1,WANG Jingcheng1,GU Deyi1,YUAN Feng2,JIANG Baichuan1,FENG Xinmin1,GU Jiaxiang1 (1.Department of Orthopedics,Affiliated Hospital of Yangzhou University,Yangzhou,Jiangsu 225001,China,2.Department of Orthopedics,Affiliated Hospital of Xuzhou Medical College,Xuzhou,Jiangsu 221002) |
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| Abstract: | Objective To investigate the effect of drug injection into the dorsal root ganglia for failed back surgery syndrome(FBSS).Methods 69 patients with lumbar disc herniation undergoing nucleus pulposus removal were randomly assigned to 2 groups.Ganglion block group(n=32) received intrathecal injection of 0.5 ml 0.75% bupivacaine and 2.5 mg dexamethasome to block the dorsal root ganglion.Control group(n=37) received no dorsal root ganglion block.The patients were evaluated for the pain in the waist and hip as we... |
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| Keywords: | failed back surgery syndrome dorsal root ganglion block anesthesia |
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