Polisca R, Domenichini M, Signoretti P, Marchi P
Servizio di Anestesia-Rianimazione, Ospedale Civile, Urbino.
Minerva Anestesiol. 1992 Jul-Aug;58(7-8):419-23.
Spinal cord stimulation (SCS) of the low thoracic spinal epidural space was carried out in 11 patients with pain from peripheral arterial disease of the lower limbs. Conservative treatment or vasoactive drugs also failed. Results are reported relating to pain, exercise endurance on the bicycle ergometer, trophic lesion changes and TCpO2. After a mean postimulation follow-up period of 15 months, substantial pain relief was preoperative non healing skin ulcerations, but gangrenous conditions were not benefited. Exercise tolerance as measured on a bicycle ergometer increased by 40%. It is concluded that SCS is vary promising in severe limb ischemia where reconstruction surgery is not possible or has been unsuccessful.
对11例下肢周围动脉疾病所致疼痛的患者进行了胸段低位硬膜外间隙脊髓刺激（SCS）治疗。保守治疗和血管活性药物治疗均无效。报告了有关疼痛、自行车测力计运动耐力、营养性病变变化和经皮氧分压（TCpO2）的结果。在平均刺激后随访15个月后，疼痛得到了显著缓解，术前未愈合的皮肤溃疡也有所改善，但坏疽情况未得到改善。自行车测力计测量的运动耐量提高了40%。结论是，在无法进行重建手术或手术不成功的严重肢体缺血中，脊髓刺激疗法很有前景。
