Idrees Ahsan
Department of Anaesthesia & Pain, Our Lady of Lourdes Hospital, Drogheda, Ireland.
J Pak Med Assoc. 2012 Jan;62(1):71-3.
The case of a 39 year old woman who had diastasis of pubic symphysis following childbirth and later developed severe chronic neuropathic pain and disability is presented. She received extensive surgical and medical treatment for 6 years with no improvement of symptoms. The VNRS (Visual Numerical Rating Scale) pain score was 7/10 or more most of the time. This was quite disabling in terms of her quality of life. A spinal cord stimulator was inserted after failure of other modalities of pain management which resulted in dramatic improvement in the quality of life measured with SF-36 questionnaire. Her pain score became 0/10 VNRS and she was free from opioids and psychotropic medications within 3 months post insertion. Spinal cord stimulator can be considered for the management of pain due to diastasis of pubic symphysis, not amenable to other therapies.
本文介绍了一名39岁女性的病例，该患者产后出现耻骨联合分离，随后发展为严重的慢性神经性疼痛和功能障碍。她接受了6年的广泛手术和药物治疗，但症状没有改善。视觉数字评分量表（VNRS）疼痛评分大部分时间为7/10或更高。这对她的生活质量造成了相当大的影响。在其他疼痛管理方式失败后，植入了脊髓刺激器，结果通过SF-36问卷测量，生活质量得到了显著改善。她的疼痛评分为VNRS 0/10，植入后3个月内不再使用阿片类药物和精神药物。对于耻骨联合分离引起的、不适合其他治疗的疼痛，可考虑使用脊髓刺激器进行治疗。
