Urban B J, Nashold B S
J Neurosurg. 1978 Mar;48(3):323-8. doi: 10.3171/jns.1978.48.3.0323.
Percutaneous epidural stimulation of the spinal cord was carried out in 20 patients with intractable pain. The procedure proved simple, and no major complications were encountered. The long-term results were comparable to the results obtained after a dorsal column stimulator implant by laminectomy. The percutaneous technique allowed extended trial stimulation without committing the patient to a major operation. Those patients in whom stimulation did not alleviate pain could be identified during a 2-week observation period, and the system could be removed easily. Seven patients were placed on chronic autostimulation and only one of those failed to experience continuing pain relief throughout the follow-up time of up to 2 years. It is concluded that percutaneous epidural stimulation constitutes a valid alternative to dorsal column stimulator implantation.
对20例顽固性疼痛患者进行了经皮脊髓硬膜外刺激。该操作证明很简单，且未出现重大并发症。长期结果与通过椎板切除术植入背柱刺激器后获得的结果相当。经皮技术允许进行延长的试验性刺激，而无需让患者接受大手术。在2周的观察期内可以确定那些刺激不能减轻疼痛的患者，并且该系统可以轻松移除。7例患者进行了慢性自动刺激，其中只有1例在长达2年的随访期内未能持续缓解疼痛。结论是，经皮脊髓硬膜外刺激是背柱刺激器植入的一种有效替代方法。
