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对幻肢痛的现有理论和治疗方法的综述。

A review of current theories and treatments for phantom limb pain.

机构信息

Department of Anatomy and Neurobiology and.

Department of Neurology, University of Tennessee Health Science Center, Memphis, Tennessee, USA.

出版信息

J Clin Invest. 2018 Jun 1;128(6):2168-2176. doi: 10.1172/JCI94003.

Abstract

Following amputation, most amputees still report feeling the missing limb and often describe these feelings as excruciatingly painful. Phantom limb sensations (PLS) are useful while controlling a prosthesis; however, phantom limb pain (PLP) is a debilitating condition that drastically hinders quality of life. Although such experiences have been reported since the early 16th century, the etiology remains unknown. Debate continues regarding the roles of the central and peripheral nervous systems. Currently, the most posited mechanistic theories rely on neuronal network reorganization; however, greater consideration should be given to the role of the dorsal root ganglion within the peripheral nervous system. This Review provides an overview of the proposed mechanistic theories as well as an overview of various treatments for PLP.

摘要

截肢后,大多数截肢者仍能感觉到缺失的肢体,并且经常将这些感觉描述为极其疼痛。幻肢感觉(PLS)在控制假肢时很有用;然而,幻肢痛(PLP)是一种使人衰弱的疾病,极大地影响了生活质量。尽管自 16 世纪早期以来就有这样的报告,但病因仍不清楚。关于中枢神经系统和外周神经系统的作用一直存在争议。目前,最被提出的机械理论依赖于神经元网络重组;然而,应该更多地考虑外周神经系统中背根神经节的作用。这篇综述提供了对提出的机械理论的概述,以及对各种 PLP 治疗方法的概述。

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本文引用的文献

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Initial Clinical Evaluation of the Modular Prosthetic Limb.模块化假肢的初步临床评估。
Front Neurol. 2018 Mar 19;9:153. doi: 10.3389/fneur.2018.00153. eCollection 2018.
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Dorsal Root Ganglion (DRG) Stimulation in the Treatment of Phantom Limb Pain (PLP).背根神经节(DRG)刺激治疗幻肢痛(PLP)。
Neuromodulation. 2015 Oct;18(7):610-6; discussion 616-7. doi: 10.1111/ner.12338. Epub 2015 Aug 13.

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