一个新型的多站点外围神经刺激方法,用于慢性部疼痛在血管缩:一个案例报告
Preston Rippe1, Marc Larsen Hallock1, Christopher Mallard2
1University of Kentucky, Department of Physical Medicine and Rehabilitation, Lexington, KY.
Pain medicine case reports
|March 4, 2026
概括
周围神经刺激 (PNS) 有效地治疗了无血管缩 (AVN) 的部疼痛. 这种创新方法提供了显著的疼痛缓解,为无法接受手术的患者提供了新的选择.
科学领域:
- 神经学 神经学
- 疼痛管理 疼痛管理
- 整形外科 整形外科 整形外科
背景情况:
- 血管性亡 (AVN) 会导致渐进的关节损伤和严重的疼痛.
- 周围神经刺激 (PNS) 是非手术候选人的部疼痛的潜在治疗方法.
研究的目的:
- 评估PNS在治疗与AVN相关的部疼痛方面的疗效.
主要方法:
- 一名患有AVN诱导的部疼痛的患者在L2处接受了双边腰椎PNS.
- 随后,PNS被应用到两侧的股骨神经的关节分支.
主要成果:
- 初始腰椎PNS提供>90%的后侧部疼痛缓解和50-60%的整体疼痛减轻.
- 股骨神经PNS改善了前部覆盖面,并实现了75%的整体双侧部疼痛减少.
结论:
- 针对腰和关节神经的PNS是慢性关节疼痛的安全和新治疗方法.
- 这一案例凸显了PNS在治疗AVN患者的部疼痛方面的潜力,即使对腰椎神经调节的数据有限.
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