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慢性疼痛背根神经节刺激的最佳实践:美国疼痛与神经科学学会指南

Best Practices for Dorsal Root Ganglion Stimulation for Chronic Pain: Guidelines from the American Society of Pain and Neuroscience.

作者信息

Chapman Kenneth B, Sayed Dawood, Lamer Tim, Hunter Corey, Weisbein Jacqueline, Patel Kiran V, Dickerson David, Hagedorn Jonathan M, Lee David W, Amirdelfan Kasra, Deer Timothy, Chakravarthy Krishnan

机构信息

The Spine & Pain Institute of New York, New York, NY, USA.

Department of Anesthesiology, Zucker School of Medicine at Hofstra Northwell, Manhasset, NY, USA.

出版信息

J Pain Res. 2023 Mar 14;16:839-879. doi: 10.2147/JPR.S364370. eCollection 2023.

Abstract

With continued innovations in neuromodulation comes the need for evolving reviews of best practices. Dorsal root ganglion stimulation (DRG-S) has significantly improved the treatment of complex regional pain syndrome (CRPS), and it has broad applicability across a wide range of other conditions. Through funding and organizational leadership by the American Society for Pain and Neuroscience (ASPN), this best practices consensus document has been developed for the selection, implantation, and use of DRG stimulation for the treatment of chronic pain syndromes. This document is composed of a comprehensive narrative literature review that has been performed regarding the role of the DRG in chronic pain and the clinical evidence for DRG-S as a treatment for multiple pain etiologies. Best practice recommendations encompass safety management, implantation techniques, and mitigation of the potential complications reported in the literature. Looking to the future of neuromodulation, DRG-S holds promise as a robust intervention for otherwise intractable pain.

摘要

随着神经调节技术的不断创新,对最佳实践进行不断更新的综述变得很有必要。背根神经节刺激术(DRG-S)显著改善了复杂性区域疼痛综合征(CRPS)的治疗,并且在广泛的其他病症中具有广泛的适用性。通过美国疼痛与神经科学学会(ASPN)的资助和组织领导,这份最佳实践共识文件已制定出来,用于指导DRG刺激术在慢性疼痛综合征治疗中的选择、植入和使用。本文献由一篇综合的叙述性文献综述组成,该综述针对DRG在慢性疼痛中的作用以及DRG-S作为多种疼痛病因治疗方法的临床证据进行了阐述。最佳实践建议涵盖安全管理、植入技术以及文献中报道的潜在并发症的缓解措施。展望神经调节的未来,DRG-S有望成为一种针对难治性疼痛的有效干预手段。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19ec/10024474/d1f3444eb0f7/JPR-16-839-g0001.jpg

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