慢性疼痛的外周神经调节
Peripheral Neuromodulation for Chronic Pain.
作者信息
Deogaonkar Milind
机构信息
Department of Neurosurgery, West Virginia University Health Sciences Center, Morgantown, WV, USA.
出版信息
Neurol India. 2020 Nov-Dec;68(Supplement):S224-S230. doi: 10.4103/0028-3886.302451.
BACKGROUND
Chronic, focal, neuropathic pain is difficult to treat. Local nerve blocks are either ineffective or do not last. Regular neuromodulation modalities like spinal cord stimulation (SCS) or pain pump are invasive and affect a larger area.
OBJECTIVES
To discuss the indications, technique, nuances, programming, and outcomes of peripheral neuromodulation.
METHODS
The article reviews published literature and the author's own experience of over 500 cases of peripheral neuromodulation.
RESULTS AND CONCLUSION
Peripheral neuromodulation using peripheral nerve field stimulation (PNFS) is an effective, minimally invasive, targeted method of treatment. It is a relatively new modality in the field of neuromodulation but is used more often.
背景
慢性、局灶性神经性疼痛难以治疗。局部神经阻滞要么无效，要么效果不能持久。常规的神经调节方式，如脊髓刺激（SCS）或止痛泵，具有侵入性且影响范围较大。
目的
探讨外周神经调节的适应证、技术、细微差别、程控及疗效。
方法
本文回顾了已发表的文献以及作者自身超过500例外周神经调节病例的经验。
结果与结论
使用外周神经场刺激（PNFS）的外周神经调节是一种有效、微创、靶向性的治疗方法。它是神经调节领域中一种相对较新的方式，但应用更为频繁。
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