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脊髓刺激治疗癌症相关性腰痛。

Spinal cord stimulation for cancer-related low back pain.

作者信息

Yakovlev Alexander E, Resch Beth E

机构信息

Comprehensive Pain Management of the Fox Valley, SC, Appleton, WI, USA.

出版信息

Am J Hosp Palliat Care. 2012 Mar;29(2):93-7. doi: 10.1177/1049909111410414. Epub 2011 Jun 13.

Abstract

OBJECTIVE

At least one third of patients with cancer have pain at the time of their diagnosis. In an attempt to provide increased pain relief for patients with intractable cancer pain, unconventional agents and interventional procedures including spinal cord stimulation (SCS) have received considerable attention.

METHODS

Patients with cancer-related low back pain underwent an uneventful SCS trial with percutaneous placement of 2 temporary 8-electrode leads placed at the level of T8-T9-T10.

RESULTS

After experiencing excellent pain relief during the 2-day trial, patients were subsequently implanted with permanent leads and generator with sustained pain relief at 12 months postoperation.

CONCLUSION

Spinal cord stimulation provides an effective, alternative treatment option for select patients with cancer-related pain who have failed conservative treatment.

摘要

目的

至少三分之一的癌症患者在确诊时伴有疼痛。为了给患有顽固性癌痛的患者提供更多的疼痛缓解,非常规药物和包括脊髓刺激(SCS)在内的介入手术受到了广泛关注。

方法

患有癌症相关性腰痛的患者接受了顺利的SCS试验,经皮在T8 - T9 - T10水平放置2根临时的8电极导联。

结果

在为期2天的试验中经历了极佳的疼痛缓解后,患者随后植入了永久性导联和发生器,术后12个月疼痛持续缓解。

结论

脊髓刺激为经保守治疗无效的特定癌症相关性疼痛患者提供了一种有效的替代治疗选择。

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