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。