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脊髓刺激对慢性疼痛综合征的长期影响。

Long-term effects of spinal cord stimulation in chronic pain syndromes.

作者信息

Vogel H P, Heppner B, Hümbs N, Schramm J, Wagner C

出版信息

J Neurol. 1986 Feb;233(1):16-8. doi: 10.1007/BF00313984.

DOI:10.1007/BF00313984
PMID:3485183
Abstract

A total of 50 patients with chronic pain syndromes were selected for treatment with spinal cord stimulation. Correct positioning of electrodes was obtained in 44 patients, leading to an initial alleviation of pain in 25 patients. In 6 patients, electrodes (though still effective in 4) had to be removed because of surgical complications within the first 5 months of use. Only 8 patients had at least some beneficial effect lasting for more than 3 years. The long-term results in patients with more severe psychological disturbances were no worse than those of the other patients.

摘要

共有50例慢性疼痛综合征患者被选入接受脊髓刺激治疗。44例患者电极定位正确,其中25例患者疼痛最初得到缓解。6例患者因在使用的前5个月内出现手术并发症而不得不移除电极(尽管其中4例仍有效果)。只有8例患者至少有持续超过3年的有益效果。心理障碍较严重患者的长期结果并不比其他患者差。

相似文献

1
Long-term effects of spinal cord stimulation in chronic pain syndromes.脊髓刺激对慢性疼痛综合征的长期影响。
J Neurol. 1986 Feb;233(1):16-8. doi: 10.1007/BF00313984.
2
[Patient satisfaction with spinal cord stimulation for failed back surgery syndrome].[脊髓刺激治疗腰椎手术失败综合征的患者满意度]
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引用本文的文献

1
Transverse tripolar spinal cord stimulation: theoretical performance of a dual channel system.
Med Biol Eng Comput. 1996 Jul;34(4):273-9. doi: 10.1007/BF02511237.
2
Long-term pain relief during spinal cord stimulation. The effect of patient selection.
Qual Life Res. 1994 Feb;3(1):21-7. doi: 10.1007/BF00647845.

本文引用的文献

1
[Intractable pain after lumbar intervertebral disc surgery (author's transl)].腰椎间盘手术后的顽固性疼痛(作者译)
Arch Psychiatr Nervenkr (1970). 1981;230(1):63-70. doi: 10.1007/BF00343768.
2
The MMPI and chronic pain.明尼苏达多相人格测验与慢性疼痛。
J Consult Clin Psychol. 1981 Apr;49(2):220-6.
3
Electrical stimulation of the spinal cord and peripheral nerves for pain control. A 10-year experience.脊髓和周围神经电刺激用于疼痛控制:十年经验
Appl Neurophysiol. 1981;44(4):207-17. doi: 10.1159/000102203.
4
Stimulation of the spinal neuraxis by biocompatible electrical current in the human.人体内生物相容性电流对脊髓轴的刺激。
Appl Neurophysiol. 1981;44(4):187-93. doi: 10.1159/000102201.
5
Examination of possible mechanisms by which stimulation of the spinal cord in man relieves pain.对人类脊髓刺激缓解疼痛的可能机制进行研究。
Appl Neurophysiol. 1981;44(4):181-6. doi: 10.1159/000102200.
6
[Epidural stimulation for pain control (author's transl)].硬膜外刺激用于疼痛控制(作者译)
Neurochirurgie. 1981;27(2):125-8.
7
Results of spinal cord stimulation in patients suffering from chronic pain after a two year observation period.
Neurochirurgia (Stuttg). 1984 Mar;27(2):47-50. doi: 10.1055/s-2008-1053725.
8
Spinal cord stimulation in peripheral vascular disease.脊髓刺激在外周血管疾病中的应用
J Neurol Neurosurg Psychiatry. 1983 Jun;46(6):478-84. doi: 10.1136/jnnp.46.6.478.
9
Predictive value of some psychological tests on the outcome of surgical intervention in low back pain patients.一些心理测试对腰痛患者手术干预结果的预测价值。
J Psychosom Res. 1981;25(3):227-35. doi: 10.1016/0022-3999(81)90037-4.
10
Spinal cord stimulation in the United Kingdom.英国的脊髓刺激疗法。
J Neurol Neurosurg Psychiatry. 1983 Apr;46(4):299-304. doi: 10.1136/jnnp.46.4.299.