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背根神经节刺激疗法治疗难治性特发性阴部神经痛

Dorsal Root Ganglion Stimulation Therapy for Refractory Idiopathic Pudendal Neuralgia.

作者信息

Chauhan Gaurav, Srinivasan Suresh K, Khanduja Suchit

机构信息

Anesthesiology and Perioperative Medicine, University of Pittsburgh Medical Center Presbyterian, Pittsburgh, USA.

Pain Management, Trinity West Medical Center, Steubenville, USA.

出版信息

Cureus. 2023 Feb 6;15(2):e34681. doi: 10.7759/cureus.34681. eCollection 2023 Feb.

DOI:10.7759/cureus.34681
PMID:36909041
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9994636/
Abstract

Dorsal root ganglion stimulation is a relatively new treatment option for chronic pain conditions such as pudendal neuralgia, which is a chronic pain condition affecting the pudendal nerve in the pelvic region. Pudendal neuralgia is a debilitating condition that can significantly affect the patient's quality of life. In dorsal root ganglion stimulation, a small device is implanted that delivers electrical impulses to the dorsal root ganglion to modulate pain signals coming from the pudendal nerve. The procedure is considered investigational and has been investigated in case series and case reports with promising results. However, more research is needed to fully understand its safety and effectiveness. This case report highlights the potential of dorsal root ganglion stimulation as a treatment option for pudendal neuralgia and the need for further research to establish it as a standard treatment option.

摘要

背根神经节刺激术是治疗诸如阴部神经痛等慢性疼痛疾病的一种相对较新的治疗选择,阴部神经痛是一种影响盆腔区域阴部神经的慢性疼痛疾病。阴部神经痛是一种使人衰弱的疾病,会显著影响患者的生活质量。在背根神经节刺激术中,会植入一个小型装置,向背根神经节传递电脉冲,以调节来自阴部神经的疼痛信号。该手术被认为仍处于研究阶段,已在病例系列和病例报告中进行了研究,结果令人鼓舞。然而,需要更多的研究来全面了解其安全性和有效性。本病例报告强调了背根神经节刺激术作为阴部神经痛治疗选择的潜力,以及进一步研究以将其确立为标准治疗选择的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/327a/9994636/ff71fbd570a3/cureus-0015-00000034681-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/327a/9994636/f7e1c8c35681/cureus-0015-00000034681-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/327a/9994636/bf54c7a7f9cf/cureus-0015-00000034681-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/327a/9994636/3005d1306cee/cureus-0015-00000034681-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/327a/9994636/ff71fbd570a3/cureus-0015-00000034681-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/327a/9994636/f7e1c8c35681/cureus-0015-00000034681-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/327a/9994636/bf54c7a7f9cf/cureus-0015-00000034681-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/327a/9994636/3005d1306cee/cureus-0015-00000034681-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/327a/9994636/ff71fbd570a3/cureus-0015-00000034681-i04.jpg

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Arch Gynecol Obstet. 2022 Oct;306(4):1107-1116. doi: 10.1007/s00404-022-06621-1. Epub 2022 May 28.
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Therapeutic Efficacy of Ultrasound-Guided High-Voltage Long-Duration Pulsed Radiofrequency for Pudendal Neuralgia.
超声引导下高压长时程脉冲射频治疗阴部神经痛的疗效。
Neural Plast. 2021 Jul 30;2021:9961145. doi: 10.1155/2021/9961145. eCollection 2021.
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Sexual dysfunction due to pudendal neuralgia: a systematic review.阴部神经痛所致性功能障碍:一项系统评价
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The Clinical Efficacy of High-Voltage Long-Duration Pulsed Radiofrequency Treatment in Pudendal Neuralgia: A Retrospective Study.高压长时程脉冲射频治疗阴部神经痛的临床疗效:一项回顾性研究。
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