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[腰椎手术失败、脊髓刺激与妊娠:病例报告]

[Failed back surgery, spinal cord stimulation and pregnancy: presentation of a case].

作者信息

Gredilla E, Abejón D, Del Pozo C, Del Saz J, Gilsanz F

机构信息

Servicio de Anestesiología y Reanimación, Hospital Universitario La Paz, Madrid, España.

出版信息

Rev Esp Anestesiol Reanim. 2012 Nov;59(9):511-4. doi: 10.1016/j.redar.2012.04.019. Epub 2012 Jun 7.

Abstract

Spinal cord stimulation is increasingly used to manage chronic pain syndromes, such as complex regional pain syndrome, chronic back pain, refractory angina pectoris or peripheral vascular diseases, which are unresponsive to other common less aggressive treatment methods. The early use of this technique in the aforementioned diseases makes it suitable in young women of childbearing age and who wish to become pregnant. We report the case of a 33-year-old woman who became pregnant 4 months after having undergone posterior cord stimulation, and we review the approach to this situation and the perioperative management during the perinatal period.

摘要

脊髓刺激越来越多地用于治疗慢性疼痛综合征,如复杂性区域疼痛综合征、慢性背痛、顽固性心绞痛或周围血管疾病,这些疾病对其他常见的侵入性较小的治疗方法无反应。在上述疾病中早期使用该技术使其适用于育龄期年轻女性以及希望怀孕的女性。我们报告了一名33岁女性的病例,她在接受脊髓后刺激4个月后怀孕,我们回顾了针对这种情况的处理方法以及围产期的围手术期管理。

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