[疝修补术后生殖股神经痛。周围神经刺激疗法]

[Neuralgia of the genitofemoral nerve after hernioplasty. Therapy by peripheral nerve stimulation].

作者信息

Walter J, Reichart R, Vonderlind C, Kuhn S A, Kalff R

机构信息

Klinik für Neurochirurgie, Friedrich-Schiller-Universität, Erlanger Allee 101, Jena, Germany.

出版信息

Chirurg. 2009 Aug;80(8):741-4. doi: 10.1007/s00104-008-1624-5.

DOI:10.1007/s00104-008-1624-5

PMID:18830573

Abstract

The peripheral nerve stimulation (PNS) is an established therapy in the management of neuropathic pain. Here, we describe a case of successful epifascial stimulation in the proximity of the genitofemoral nerve, which was injured during an endoscopic hernioplasty. During the following months the patient developed an intense neuropathy of this nerve, which we now treated by permanent PNS with an 8-polar electrode. During the 1 year follow-up the patient described a pain reduction of nearly 70%. There were no adverse events until now. In conclusion, PNS is a promising procedure in the treatment of neuralgia after hernioplasty.

摘要

外周神经刺激（PNS）是治疗神经性疼痛的一种既定疗法。在此，我们描述一例在股生殖神经附近成功进行筋膜上刺激的病例，该神经在内镜下疝修补术中受损。在接下来的几个月里，患者出现了该神经的严重神经病变，我们现在通过使用八极电极进行永久性PNS来治疗。在1年的随访中，患者称疼痛减轻了近70%。到目前为止没有不良事件发生。总之，PNS在疝修补术后神经痛的治疗中是一种有前景的方法。