脊髓电刺激术(SCS)
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脊髓电刺激成功治疗神经纤维瘤术后13年顽固性疼痛
Cai Fu Zai Xian· 2025-07-17 09:16
Core Viewpoint - The successful implementation of spinal cord stimulation surgery by the team led by Director Li Cuicui at the Seventh Medical Center of the Chinese People's Liberation Army provides a new hope for patients suffering from chronic pain due to nerve fibromas, significantly improving their quality of life [1][3]. Case Review - A 70-year-old female patient suffered from persistent electric-like pain in the right lower limb for over 13 years following the resection of 23 nerve fibromas [2]. - Despite previous surgeries, the patient continued to experience severe pain, which worsened over the last year, leading her to seek further treatment [2]. - After thorough examination, the patient was diagnosed with intractable pain and low white blood cell count, prompting the decision for spinal cord stimulation implantation [2]. Surgical Procedure - The surgery was conducted in two phases, with the first phase involving the implantation of a test electrode under imaging guidance and intraoperative electrophysiological monitoring [2]. - Following the test phase, the parameters for stimulation were adjusted based on the patient's feedback, leading to significant pain relief and the decision for permanent implantation [2][3]. Expert Recommendations - Director Li Cuicui emphasized that spinal cord stimulation is an effective treatment option for persistent pain caused by nerve fibromas, offering a new pathway for pain relief and significantly enhancing the patient's quality of life [4]. - The procedure is described as reversible and adjustable, allowing for trial treatments before considering permanent implantation [4]. Spinal Cord Stimulation (SCS) - SCS involves implanting electrodes in the epidural space to deliver electrical pulses that modulate nerve function and alleviate pain, characterized as a minimally invasive and safe neuro-modulation therapy [5][10]. - The SCS application is suitable for chronic intractable pain, diabetic foot, spinal cord injuries, and other conditions [8]. SCS Procedure Overview - The SCS treatment typically consists of two stages: a test phase lasting 7 to 14 days to assess effectiveness, followed by a permanent implantation phase if results are satisfactory [9]. - The permanent phase involves general anesthesia and the implantation of a pulse generator connected to the electrodes, allowing for individualized treatment settings [9]. Advantages of SCS Therapy - SCS therapy is noted for its minimally invasive nature, reversibility, precision in targeting pain, rapid onset of effects, and safety as a neuro-modulation method [10].