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下肢植入式神经调节装置:在非重建性损伤区域,经过失败的修正性微神经外科手术仍持续慢性疼痛的患者的辅助治疗程序。

Implantable Neuromodulation Device in the Lower Limb: An Adjunctive Procedure in Patients with Continued Chronic Pain After Failed Revisional Microneurosurgical Procedure in a Nonreconstructable Zone of Injury.

机构信息

CPME Postdoctoral Fellowship Complex Deformity Correction & Limb Reconstruction, American Microsurgical Orthoplastic Society; AMITA Health - Saint Joseph Hospital Chicago, Attn: Podiatric Fellow Office Suite 425, 2913 N Commonwealth Avenue, Chicago, IL 60657, USA.

AMITA Health - Saint Joseph Hospital Chicago, 2913 N Commonwealth Avenue Suite 425, Chicago, IL 60657, USA.

出版信息

Clin Podiatr Med Surg. 2021 Jan;38(1S):e31-e43. doi: 10.1016/j.cpm.2021.09.002. Epub 2021 Nov 24.

DOI:10.1016/j.cpm.2021.09.002
PMID:35101240
Abstract

Implantable peripheral nerve stimulators are used with the goal to decrease the neuropathic pain level and possibly the need for opioid analgesics. Peripheral nerve injuries and pathology must be thoroughly evaluated before implantation of neuromodulation devices. Ultrasound-guided nerve blocks and a peripheral nerve stimulator trial is performed before surgical implantation. In this article, the authors discuss indications, clinical and diagnostic examinations, and their surgical technique for implantation of the Bioventus StimRouter.

摘要

可植入式周围神经刺激器的使用目的是降低神经病理性疼痛水平,并可能减少阿片类镇痛药的需求。在植入神经调节装置之前,必须彻底评估周围神经损伤和病变。在手术植入之前,进行超声引导的神经阻滞和周围神经刺激器试验。本文作者讨论了 Bioventus StimRouter 的植入的适应证、临床和诊断检查以及手术技术。

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