肋间神经疼痛通过周围神经刺激成功管理
David M Gallacher1, Paul Gastelum2, Sungkook A Park2
1Physical Medicine and Rehabilitation, University of Colorado, Aurora, USA.
Cureus
|November 21, 2024
概括
周围神经刺激 (PNS) 提供了显著的,长期的疼痛缓解的肋间神经疼痛不响应常规治疗. 这项案例研究强调了PNS作为慢性神经病变疼痛的可行的神经调节选择.
科学领域:
- 神经学 神经学
- 疼痛医学 医学 疼痛医学
- 神经外科 神经外科
背景情况:
- 肋间神经疼痛会引起严重的神经病痛,常常耐受标准治疗.
- 对于创伤诱导的肋间神经疼痛的神经调节的证据有限.
研究的目的:
- 评估外周神经刺激 (PNS) 对耐火性肋间神经疼痛的长期疗效.
主要方法:
- 一个40岁的病人经历了数十年的胸痛病例报告.
- 药物学,物理,手术,注射,穿皮电神经刺激 (TENS) 和脊髓刺激 (SCS) 的失败.
- 成功的试验和PNS的永久植入,随着两年的随访.
主要成果:
- 在永久性PNS植入后,患者经历了每天80-100%的疼痛缓解.
- 在两年随访期间观察到持续的疼痛缓解和阿片类药物断奶.
- 记录的恢复日常活动.
结论:
- 最少侵入性PNS是有效的管理慢性肋间间神经疼痛耐腐蚀的保守措施.
- 这代表了PNS在创伤诱导的肋间神经疼痛中报告的最长结果.
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