扰频器疗法治疗小儿白血病相关性神经病理性疼痛：一例报告
Scrambler therapy for the treatment of neuropathic pain related to leukemia in a pediatric patient: A case report.
作者信息
Park Hahck Soo, Kim Won-Joong, Kim Hyung Gon, Yoo Seung Hee
机构信息
Department of Anesthesiology and Pain Medicine, School of Medicine, Ewha Womans University, Ewha Womans University Mokdong Hospital, 1071 Anyangcheon-ro, Yangcheon-gu, Seoul, Republic of Korea.
出版信息
Medicine (Baltimore). 2017 Nov;96(45):e8629. doi: 10.1097/MD.0000000000008629.
RATIONALE
Cancer-related neuropathic pain often responds poorly to standard pain treatments. Scrambler therapy has relieved refractory chronic pain in several uncontrolled clinical trials.
PATIENT CONCERNS
An 11-year-old female patient was suffering from left groin and medial thigh pain after irradiation to the knee. The girl was diagnosed with precursor B-cell lymphoblastic leukemia 2 years ago. Extramedullary relapse of leukemia developed 1 month ago and pain had started. She was treated with oral medications, but she was continuously complaining of severe pain.
DIAGNOSIS
Neuropathic pain caused by obturator nerve involvement in leukemia.
INTERVENTION
Scrambler therapy.
OUTCOME
Pain reduction.
LESSONS
Scrambler therapy is noninvasive, is not associated with any complications, causes minimal discomfort during treatment, and is very effective in a pediatric patient with cancer-related neuropathic pain.
原理
癌症相关的神经性疼痛对标准疼痛治疗的反应通常较差。在几项非对照临床试验中，扰频器疗法缓解了难治性慢性疼痛。
患者关注
一名11岁女性患者在接受膝盖放疗后出现左腹股沟和大腿内侧疼痛。该女孩2年前被诊断为前体B细胞淋巴细胞白血病。1个月前白血病发生髓外复发并开始疼痛。她接受了口服药物治疗，但仍不断抱怨剧痛。
诊断
白血病累及闭孔神经引起的神经性疼痛。
干预
扰频器疗法。
结果
疼痛减轻。
经验教训
扰频器疗法是非侵入性的，不伴有任何并发症，治疗期间不适最小，对患有癌症相关神经性疼痛的儿科患者非常有效。
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