论文部分内容阅读
对慢性眼痛的治疗,全身止痛药在某些病例可能有效,但许多患者甚至用麻醉剂也得不到满意的缓解;球后注射酒精可暂时缓解疼痛。作者用选择性热凝三叉神经节治疗9例慢性眼痛患者,男7例,女2例,年龄51-74岁。这些患者以前均用全身止痛药治疗,4例至少接受过一次酒精球后注射,但效果均不满意。经全面的眼科检查,视力为6/24到光感,眼痛的原因为青光眼、穿孔伤或曾接受视网膜脱离手术等。治疗在放射科照相室内进行。静脉内注射芬太尼及达丁醇合剂后,用中空的20号套管电极在口唇连合外3cm处刺入皮肤,医生以戴手套的食指伸入病人口内,在下颌骨枝的中央处触知电极以引导,使电极进入卵圆孔接近三叉神经
Systemic painkillers may be effective in the treatment of chronic ocular pain in some cases, but many patients are not satisfactorily relieved even with anesthetics; injecting alcohol after the ball relieves pain temporarily. Authors with selective thermal trigeminal ganglion treatment of 9 patients with chronic eye pain, 7 males and 2 females, aged 51-74 years. These patients had previously been treated with systemic painkillers, and 4 had received at least one alcohol injection, but the results were unsatisfactory. After a comprehensive eye examination, visual acuity is 6/24 to light feeling, the cause of eye pain is glaucoma, perforation injury or had retinal detachment operation. Treatment is performed in radiology room. After intravenous injection of fentanyl and dobutanol mixture, a hollow 20-gauge cannula electrode was used to pierce the skin 3 cm beyond the ligaments, and the surgeon reached the patient’s mouth with his gloved index finger at the center of the mandibular branch Touch the electrode to guide the electrode into the foramen ovale near the trigeminal nerve