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題 名 | 電腦斷層引導高頻電極針於胸椎神經阻斷之應用=Application of Computed Tomography Guidance Radiofrequency Electrode Needle in Thoracic Nerve Block |
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作 者 | 林秋湧; 許瓊如; 陳文昌; 吳萬福; 廖漢弘; | 書刊名 | 中華放射線技術學雜誌 |
卷 期 | 36:3 2012.09[民101.09] |
頁 次 | 頁129-134 |
分類號 | 416.22 |
關鍵詞 | 電腦斷層; 高頻電極針; 胸椎; 神經阻斷; Computed tomography; Radiofrequency electrode needle; Thoracic; Nerve block; |
語 文 | 中文(Chinese) |
中文摘要 | 大於80%的人在一生中會因各種不同的外傷或退化性因素而受背部疼痛的困擾,某些背部疼痛患者可以透過適當的休息、物理治療或藥物獲得疼痛的舒解,但有些情況就必須進行手術才能治療。本研究自96年5月至98年3月共收集21位患者,利用多排偵測器電腦斷層(Multi-Detector Computed Tomography; MOCT),以2D的影像隨時監看高頻電極針( Radiofrequency electrode needle)穿刺的位置,並利用神經刺激儀器(Radionics: RF Lesion Generator System)對所要阻斷的胸椎神經加以刺激電位,精確了解神經的支配位置是否與疼痛位置相重疊,確認此神經是否為疼痛的源頭、要阻斷的目標。再者運用Phenol與Xylocaine的注射,除麻痺神經外,更腐蝕、破壞神經精造,達到永久性的阻斷疼痛。21位治療的患者在接受單次或多次的治療後,都能有效減輕背部疼痛,恢復患者原本的生活品質。 |
英文摘要 | More than 80% of persons who suffered from chronic backache due to different reasons in their life, like trauma or degenerative change... etc. And this problem can be solved by the resting, physical treatment even medication used. But some of them needed surgical intervention to improve. We enrolled 21 patients to our study from May of 2007 to March of 2009 during cooperated with neurosurgeon when performed the thoracic nerve roots block. We confirmed the radiofrequency electrode needle position in 2D image assistant by Multi-Detector Computed Tomography (MDCT). And we stimulated the nerve roots via RF lesion generator system to make sure the distribution of the pain is correspond with the nerve innervation. In order to causing the permanent pain relief, we used the Phenol and Xylocaine to paralysis, erosion even destruction the nerve roots structure. After one or several courses of treatment, all our patients can effective to relief the pain and improved the quality of life. |
本系統中英文摘要資訊取自各篇刊載內容。