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脊髓刺激治疗严重缺血肢体。

Spinal cord stimulation for severely ischemic limbs.

作者信息

Sampère C T, Guasch J A, Paladino C M, Sánchez Casalongue M, Elencwajg B

机构信息

Department of Vascular Surgery, Cardiovascular School Cosme Argerich Hospital, Buenos Aires, Argentina.

出版信息

Pacing Clin Electrophysiol. 1989 Feb;12(2):273-9. doi: 10.1111/j.1540-8159.1989.tb02659.x.

DOI:10.1111/j.1540-8159.1989.tb02659.x
PMID:2468136
Abstract

Severe atherosclerosis of the lower limbs causes rest pain, skin ulcerations and gangrene. In such situations and when standard surgical treatment had failed or it is impossible to employ, spinal cord stimulation (SCS) seems to be of value. Since April 1985, we have used this technique on 19 patients. The results have been beneficial in 70.6% of the cases and have shown some evidence of increasing cutaneous flow. However, randomized series are required before accepting it as having a special place in the fight against atherosclerotic disease.

摘要

严重的下肢动脉粥样硬化会导致静息痛、皮肤溃疡和坏疽。在这种情况下,以及当标准手术治疗失败或无法采用时,脊髓刺激(SCS)似乎具有价值。自1985年4月以来,我们已对19名患者使用了该技术。70.6%的病例结果显示有益,并有一些证据表明皮肤血流量增加。然而,在将其视为对抗动脉粥样硬化疾病具有特殊地位之前,还需要随机对照研究。

相似文献

1
Spinal cord stimulation for severely ischemic limbs.脊髓刺激治疗严重缺血肢体。
Pacing Clin Electrophysiol. 1989 Feb;12(2):273-9. doi: 10.1111/j.1540-8159.1989.tb02659.x.
2
The use of spinal cord stimulation for severe limb-threatening ischemia: a preliminary report.脊髓刺激用于严重肢体威胁性缺血的初步报告。
Ann Vasc Surg. 1987 Dec;1(5):578-82. doi: 10.1016/S0890-5096(06)61443-X.
3
Epidural spinal cord stimulation in the treatment of severe peripheral arterial occlusive disease.硬膜外脊髓刺激治疗重度外周动脉闭塞性疾病。
Ann Vasc Surg. 1994 Sep;8(5):468-74. doi: 10.1007/BF02133067.
4
Long-term results by epidural spinal electrical stimulation (ESES) in patients with inoperable severe lower limb ischaemia.硬膜外脊髓电刺激(ESES)治疗无法手术的严重下肢缺血患者的长期疗效
Eur J Vasc Surg. 1987 Oct;1(5):345-9. doi: 10.1016/s0950-821x(87)80062-2.
5
Epidural spinal cord electrical stimulation: an unproven methodology for management of lower extremity ischemia.硬膜外脊髓电刺激:一种未经证实的下肢缺血治疗方法。
J Vasc Surg. 1991 Dec;14(6):829. doi: 10.1016/0741-5214(91)70072-f.
6
Transcutaneous oxygen tension (TcPO2) in the testing period of spinal cord stimulation (SCS) in critical limb ischemia of the lower extremities.下肢严重肢体缺血脊髓刺激(SCS)测试期的经皮氧分压(TcPO2)
Int Surg. 1999 Apr-Jun;84(2):122-8.
7
Spinal cord stimulation in critical limb ischemia of the lower extremities: our experience.脊髓刺激治疗下肢严重肢体缺血:我们的经验
J Neurosurg Sci. 1999 Dec;43(4):285-93.
8
Does autonomic neuropathy influence spinal cord stimulation therapy success in diabetic patients with critical lower limb ischemia?自主神经病变是否会影响严重下肢缺血的糖尿病患者脊髓刺激疗法的成功率?
Surg Neurol. 2000 Feb;53(2):182-8; discussion 188-9. doi: 10.1016/s0090-3019(99)00182-2.
9
[Spinal cord neurostimulators in chronic severe ischemia of the limbs].[脊髓神经刺激器用于肢体慢性严重缺血]
Minerva Chir. 1989 Feb 15;44(3):493-7.
10
Spinal cord stimulation for lower limb ischemic pain treatment.脊髓刺激用于治疗下肢缺血性疼痛。
Interact Cardiovasc Thorac Surg. 2007 Aug;6(4):495-500. doi: 10.1510/icvts.2006.150185. Epub 2007 Apr 6.

引用本文的文献

1
Spinal cord stimulation: an update.脊髓刺激:最新进展
Neurotherapeutics. 2008 Jan;5(1):86-99. doi: 10.1016/j.nurt.2007.10.066.
2
Spinal cord stimulation and cerebral haemodynamics.脊髓刺激与脑血流动力学
Acta Neurochir (Wien). 1991;111(1-2):43-8. doi: 10.1007/BF01402512.