脊髓刺激(SCS)治疗脊柱源性慢性良性疼痛中的硬件故障

Hardware failures in spinal cord stimulation (SCS) for chronic benign pain of spinal origin.

作者信息

Rainov N G, Heidecke V

机构信息

Department of Neurosurgery, Central Clinic Augsburg, Augsburg, Germany.

出版信息

Acta Neurochir Suppl. 2007;97(Pt 1):101-4. doi: 10.1007/978-3-211-33079-1_13.

Abstract

Spinal cord stimulation (SCS) has become an established clinical option for treatment of refractory chronic pain not related to cancer. Current hardware and implantation techniques for SCS are already highly developed and continuously improving, however equipment failures over the course of the long-term treatment are still encountered in a relatively high proportion of treated cases. Percutaneous SCS electrodes seem to be particularly prone to dislocation and insulation failures. This review summarizes the experience of the authors with management of hardware failures and their causes in patients treated with SCS for chronic pain of benign origin. The published literature is critically surveyed and discussed.

摘要

脊髓刺激(SCS)已成为治疗与癌症无关的难治性慢性疼痛的既定临床选择。目前用于SCS的硬件和植入技术已经高度发达且不断改进,然而,在相当比例的治疗病例中,长期治疗过程中仍会遇到设备故障。经皮SCS电极似乎特别容易出现移位和绝缘故障。本综述总结了作者在处理因良性原因导致慢性疼痛而接受SCS治疗的患者硬件故障及其原因方面的经验。对已发表的文献进行了批判性审视和讨论。

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