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| 篇名 |
Percutaneous CT-guided chemical lumbar sympathectomy for patients following back surgeries presenting with minor causalgia of lower limbs |
| 作者 |
Kung-Shing Lee, Chih-Ling Chuan, Shiuh-Lin Hwang, Chih-Lung Lin, Lei-To Hsu, Chi-Fu Hung, Shen-Long Howng |
| 卷期/出版年月 |
36卷4期 (2003/8) |
| 頁次 |
160-165 |
| 摘要 |
Purpose:Coldness, numbness sensation or causalgia is usually affecting the lower limbs in patients after back surgeries. The symptom complex of causalgia and minor causalgia can range widely, while minor causalgia was classified as involving a pure sensory nerve. The treatment of minor causalgia is still the source of continuing debate, with multiple treatment choices and modalities having been described. We treat these patients presenting with minor causalgia with percutaneous chemical lumbar sympathectomy guided by computerized tomography (CT) and assess the therapeutic value of this technique.
Mothods: From December 2001 to May 2002, a total of 13 patients (14 limbs) with minor causalgia following back surgeries underwent the percutaneous CT-guided chemical lumbar sympathectomy. There were 8 male patients and 5 female patients, with the average age of 50.1 years (range: 21-77 years). Twelve patients underwent unilateral procedures (5 on the right and 7 on the left), and one patient underwent staged bilateral procedures.
Results: We have followed up our patients for 6 to 12 months. Needle puncture was possible without difficulty in all patients. Excellent response was seen in 9 limbs (9/14, 64.3%). There was no operative mortality. A patient was complicated by geniyofemoral neuralgia which recovered in a month. Other reported complications were not seen.
Conclusion: We conclude that the percutaneous CT-guided chemical lumbar sympathectomy is an easy, safe and reproducible technique and it dose benefit patients following back surgeries presenting with minor causalgia. |
| 關鍵詞 |
chemical lumbar sympathectomy, CT-guided, minor causalgia, following back surgeries |
| 分類 |
Original Article |
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