Hegarty Dominic
Department of Anaesthesia and Intensive Care, Cork University Hospital, Cork, Ireland.
Anesthesiol Res Pract. 2012;2012:375691. doi: 10.1155/2012/375691. Epub 2011 Oct 5.
The use of neuromodulation for pain relief is among the fastest-growing areas of medicine, involving many diverse specialties and impacting on hundreds of thousands of patients with numerous disorders worldwide. As the evidence of efficacy improves, the interest in spinal cord stimulation (SCS) will increase because it is minimally invasive, safe, and a reversible treatment modality with limited side effect profile. While the mechanism of action evades complete understanding, the technological improvements have been considerable and current neuromodulation developments have been coupled with the rapid growth of the neuromodulation device industry resulting in the development of the next-generation neuromodulation systems. The development, the newest technicaliti and the future for the clinical application of spinal cord stimulation (SCS) are reviewed here.
神经调节用于缓解疼痛是医学领域中发展最快的领域之一,涉及许多不同的专业,并且影响着全球数十万患有多种疾病的患者。随着疗效证据的改善,对脊髓刺激(SCS)的兴趣将会增加,因为它微创、安全,是一种副作用有限的可逆治疗方式。虽然其作用机制尚未完全明了,但技术进步显著,当前神经调节的发展与神经调节设备行业的快速增长相结合,促成了下一代神经调节系统的开发。本文将对脊髓刺激(SCS)的发展、最新技术及临床应用前景进行综述。