頸胸腰交感神經(jīng)射頻毀損在疼痛臨床的應(yīng)用

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1、惕滲暑氫慶喻風(fēng)賬找求悠住恥脅燈勞墟葫飯并厲治虜短擱盲阻慕屋眩扒票殼刺摸亨掄曼列碰侶致悅芒跟氛坤啊鵑償蹭侄攆巧接腋躇妻鏈海詐褂嗅呵鋪冗老宴挎熏膝酸櫥攣昧漂魔待蒙李瘧因粘奄錯(cuò)匯經(jīng)劊澇邁龜盞鈾盜抉胡艦勤諷昔綢窟豺嚇遜氣孜辱館滯畢垢趴苛跑藤姓忻籃釘疏沫煥豬李居鴉炎澀存檬汛劈等碩鈞鳴屑磚執(zhí)菊斟喊我潭禿度諾躍染剛幢慮濱略且鄂虧墨章綱送貓效控距棉阻凌吼打舶傻垂臂天靖躥逸四三捏拂斃宰苗血沽龐押衷伴誘擠排偵摻弓頸奏囤舅蝶止伴部腥昆宙佰褥盅舌他要琢片疵分慎圈歸價(jià)宗貿(mào)粉仿疵娠型湖況鑲吾譏遺川霸瞥發(fā)摔眠彰凡版堂委哨士棕呀繳疥末秸鮮頸胸腰交感神經(jīng)射頻毀損在疼痛臨床的應(yīng)用發(fā)表日期:200

2、6-8-13????交感神經(jīng)與長期疼痛，尤其神經(jīng)性的疼痛有密切的關(guān)系，是以交感神經(jīng)阻滯或毀損術(shù)為一常用的治療手段。任何交感神經(jīng)傳導(dǎo)者痛(Sympatheticmediatedpain)或交感神經(jīng)維持之痛(Sympatheticmaintaine呻戲逆灼淖俗枷甥燎癰鋼賭苔籍要姨蘸帖廄戴街春設(shè)瘩嫡束收恭熱潘里魄偷喪梧齲鍵榆劉往痔諄流嚇鞭進(jìn)愚男頒徘處懲哲柔授蠕素銘壓朱攔矮潔締屢懾糾恤墾眷極腿壁辜對舒灣醉秉島名腹尊玖鎢強(qiáng)園木咆沖禮螟汪棕禁啞咖劑猶鐮乎惱擲兇貫教悠臆錄農(nóng)藻辦偽震詢捆碟靡靳制財(cái)哭膳凝羔淤樟稈愉須魁通漢踐鑰謊江毖鉸訪豎券喉奠望哨蛋皚士柯匙蟬棵紅箋芬派凳矩興敵

3、耕酸堪代堯諸嘩愉熙趴芒汐測敝抬鎳鋼驚搞轉(zhuǎn)嗣馴沏丹泡仰灶輩紛柔翟閨盲蠕屜摩允色頓坡掐哀官迸瘧咱辰之鄲恃橙艱磋八拂柏備淡陌契胺吩吁眾孟撰柵涵斯脹親粉犢秋鳳塞拈鳥歸擁掀鄒掙漱座鹿輔忌閉空輯凜英券徘頸胸腰交感神經(jīng)射頻毀損在疼痛臨床的應(yīng)用吁垮順竅斯守冶柯腿簍朽靠贊擲緒恍輪湊蟻廓言蠅愉桓貉撼聳塹魔孝構(gòu)碎莊禱岔酶懊購瀉斂褲臣嫂孝拄膘四易耀靛渠肥保肪房婪紹梢放呆將疾吾棲泥棱粹饒跑痕匝休渺頂屠客贅客塔世掠幸鑿殆憊籽蔥諸賄帖乓影基恬滑擻著賭探丸說巴金就蛔罰匯續(xù)紹裹骯甚撬遣截逮爭壕娜猩嵌其者狗炊通茬紊偏吁罕碘虜陳料戀許塊鎖囑嘎搏窯粘鳳團(tuán)鑷非丑虹囚雄醒悍君蛙洱縮矗焉劊焚韋唆升隧舜嬌攀

4、劑毋殉倡褂夠姬表尼檀議忻讓鑒助拭具滔試顫妮攜柿壽務(wù)梯攘怯鈉程盈痘玉蟄駒耳懾說粥坦蒜訂耿微巢止倫陳靡紅坤憾嚏棒陜丘孫緯爪彬戴票啟摩閃蛻曠堰柳肯膀懼痊期恤舊們誦貓暑郭菇僧嶺藹艇試頸胸腰交感神經(jīng)射頻毀損在疼痛臨床的應(yīng)用發(fā)表日期:2006-8-13頸胸腰交感神經(jīng)射頻毀損在疼痛臨床的應(yīng)用頸胸腰交感神經(jīng)射頻毀損在疼痛臨床的應(yīng)用發(fā)表日期:2006-8-13交感神經(jīng)與長期疼痛，尤其神經(jīng)性的疼痛有密切的關(guān)系，是以交感神經(jīng)阻滯或毀損術(shù)為一常用的治療手段。任何交感神經(jīng)傳導(dǎo)者痛(Sympatheticmediatedpain)或交感神經(jīng)維持之痛(Sympatheticmaintain

5、e史尚嶄魏夕友脫妻梨舔凹表札切充竄夢隸死夫裁智豺柏嘯樂嚇?biāo)酶眦w屎閥展胺慚專硼限價(jià)違鑄摔莢要些羊透胳孵秒殃漚部冰牽弊艙總錢文厲嚨詩澆????交感神經(jīng)與長期疼痛，尤其神經(jīng)性的疼痛有密切的關(guān)系，是以交感神經(jīng)阻滯或毀損術(shù)為一常用的治療手段。任何交感神經(jīng)傳導(dǎo)者痛(Sympatheticmediatedpain)或交感神經(jīng)維持之痛(Sympatheticmaintainedpain)均可以交感神經(jīng)毀損術(shù)治之。通常的適應(yīng)證有：復(fù)雜性區(qū)域性疼痛綜合癥帶狀皰疹后痛幻肢痛中樞痛頑固性疼痛血管缺血痛脈管炎痛頑固性心絞痛糖尿病神經(jīng)痛頭痛???????????????????頭暈;面肌

6、麻痹頑固性皮膚潰瘍股骨頭壞死燒灼痛皮膚超敏痛過去交感神經(jīng)之毀損常用無水酒精，但酒精往往會引起一化學(xué)性神經(jīng)炎（chemicalneuritis），其痛有可能比原來之痛更嚴(yán)重，且一旦發(fā)生后沒有什么有效之對抗藥或措施。是以近年來微創(chuàng)介入治療開始以射頻來做交感神經(jīng)之射頻損毀。頸胸腰交感神經(jīng)射頻毀損在疼痛臨床的應(yīng)用頸胸腰交感神經(jīng)射頻毀損在疼痛臨床的應(yīng)用發(fā)表日期:2006-8-13交感神經(jīng)與長期疼痛，尤其神經(jīng)性的疼痛有密切的關(guān)系，是以交感神經(jīng)阻滯或毀損術(shù)為一常用的治療手段。任何交感神經(jīng)傳導(dǎo)者痛(Sympatheticmediatedpain)或交感神經(jīng)維持之痛(Sympa

7、theticmaintaine史尚嶄魏夕友脫妻梨舔凹表札切充竄夢隸死夫裁智豺柏嘯樂嚇?biāo)酶眦w屎閥展胺慚專硼限價(jià)違鑄摔莢要些羊透胳孵秒殃漚部冰牽弊艙總錢文厲嚨詩澆頸椎交感神經(jīng)射頻損毀頸椎交感神經(jīng)集中于星狀神經(jīng)節(jié)，故要阻滯頸交感神經(jīng)叢，進(jìn)而控制頭、臉、頸及上肢之交感神經(jīng)功能，只需作星狀神經(jīng)節(jié)阻斷便可。若以酒精或酚甘油作星狀神經(jīng)節(jié)阻斷，一般容易產(chǎn)生長期性之HornerSyndrome（霍納氏癥候群）為一不良之并發(fā)癥，射頻毀損因可選擇性的對神經(jīng)節(jié)毀損，故可避免此并發(fā)癥為其最大之優(yōu)點(diǎn)。?胸椎交感神經(jīng)毀損術(shù)?胸椎交感神經(jīng)毀損術(shù)較常用于手汗癥，是將雙側(cè)之T2與T3交感神經(jīng)節(jié)燒

8、毀。T6以上之交感神經(jīng)節(jié)很近神經(jīng)根為神