与拆除和圆柱形脊髓刺激电极相关的并发症
Andrew M Miller1, Alan Nguyen1,2, Adeesya Gausper1
1Department of Neurosurgery, Cedars-Sinai Medical Center.
Clinical spine surgery
|February 9, 2026
概括
脊髓刺激器 (SCS) 电极切除是安全的独立手术,并发症率低,为2.4%. 大多数并发症发生在并发性手术期间,而不是SCS切除本身.
科学领域:
- 神经外科 神经外科
- 疼痛管理 疼痛管理
- 医疗器械技术 医疗器械技术
背景情况:
- 脊髓刺激 (SCS) 使用或圆柱状电极治疗慢性疼痛.
- 移除SCS电极的并发症没有得到充分的记录.
- 了解移除风险对于患者安全至关重要.
研究的目的:
- 为了调查脊髓刺激器 (SCS) 电极移除的并发症.
- 分析和圆柱形电极的结果.
- 评估大量患者队列中的风险.
主要方法:
- 139名接受SCS电极切除 (2014-2022) 的患者的回顾性病例系列.
- 通过图表审查收集的数据.
- 在独立切除和并发手术之间进行区分.
主要成果:
- 整体并发症率为6.5% (9/139名患者).
- 独立清除的并发症率很低,为2.4% (2/82名患者).
- 7个并发症 (在7名患者中) 发生在广泛的同时进行的脊柱手术期间.
结论:
- 独立的SCS电极移除与较低的并发症率有关.
- 并发症更可能与同时进行的脊髓手术有关.
- 完全移除电极非常成功 (99.3%).
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