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同时的闭环受体脊髓刺激器和膀间刺激植入 - 一个案例报告

Dylan W Banks1, David S Jevotovsky1, Mustafa Broachwala2

  • 1New York University, Department of Physical Medicine and Rehabilitation, New York, NY.

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概括

本案例报告详细介绍了使用闭环脊髓刺激器 (CL-SCS) 和神圣刺激器对过度活跃的膀 (OAB) 和慢性疼痛进行成功的同时神经调节. 患者经历了显著的疼痛缓解和减少尿动频率.

关键词:
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科学领域:

  • 神经学 神经学
  • 泌尿器科 泌尿器科 泌尿器科 泌尿器科
  • 疼痛管理 疼痛管理

背景情况:

  • 过度活性膀 (OAB) 综合征和慢性疼痛是普遍存在的,通常是并发性疾病.
  • 关联OAB和慢性疼痛的潜在机制尚未完全理解.
  • 神经调节是一种新兴的治疗OAB和慢性疼痛.

研究的目的:

  • 报告第一个同时植入闭环脊髓刺激器 (CL-SCS) 和神经刺激器的病例.
  • 评估双重神经调节在治疗并发性OAB和慢性疼痛方面的疗效.

主要方法:

  • 一名69岁的男性患者患有严重的腰部狭窄,令人虚弱的疼痛,疼痛的糖尿病外围神经病变和OAB被治疗.
  • 在保守治疗失败后,该患者同时接受了CL-SCS和圣骨刺激器植入.
  • 通过患者报告的症状缓解和功能改善来评估结果.

主要成果:

  • 患者报告说,从令人虚弱的疼痛中获得了显著的缓解.
  • 观察到睡眠质量和移动性的改善.
  • 包括尿路频率在内的OAB症状显著减少.

结论:

  • 这是首个报告的同时进行CL-SCS和神经刺激器植入并发性OAB和慢性疼痛的病例.
  • 使用这些设备的双神经调节为复杂病例提供了潜在的治疗策略.
  • 需要进一步的研究来探索双重神经调节技术,用于多种适应症.