首页|颈脊髓损伤后神经病理性疼痛:1例报告与综述

颈脊髓损伤后神经病理性疼痛:1例报告与综述

Neuropathic pain secondary to cervical spinal cord injury:A case report with literature review

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脊髓损伤(spinal cord injury,SCI)后神经病理性性疼痛(neuropathic pain,NP)是一种难以处理的并发症,会使患者严重衰弱,并可能导致不活动和心理问题,如抑郁和焦虑.神经病理性疼痛的治疗目前还未取得重大的突破,既往研究聚集于药物等保守治疗.脊髓电刺激(spinal cord stimulation,SCS)作为一种侵袭性方式,其作用和疗效确切,已逐渐被临床所接受.但研究主要聚集在腰腿痛领域,对脊髓损伤后上肢疼痛的应用还很少.本文报告SCS治疗1例脊髓损伤后上肢神经病理性疼痛的患者,并对脊髓电刺激治疗神经病理性疼痛的文献进行综述,为临床医生治疗该类疾病提供参考.
Neuropathic pain(NP)after spinal cord injury(SCI)is a refractory complication because it can be severely debilitating and lead to inactivity and psychological problems such as depression and anxiety.There has been no major breakthrough in the treatment of NP and previous studies focused on conservative treatment such as drugs.As an invasive method,spinal cord stimulation(SCS)has been gradu-ally accepted in clinic because of its definite effect and curative effect.However,the research is mainly concentrated in the field of lumbar and leg pain,and the application of upper limb pain after cervical spinal cord injury is few.This paper reports a case who received SCS treatment for upper extremity NP secondary to cervical SCI,and reviews the literature on the treatment of NP by SCS,providing reference for clinicians to handle this condition.

spinal cord injuryneuropathic painupper limb painspinal cord stimulation

彭京、张学俊、万松、丁凡

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武汉科技大学附属普仁医院骨科,湖北武汉 430081

武汉科技大学医学院,湖北武汉 430065

脊髓损伤 神经病理性疼痛 上肢疼痛 脊髓刺激

国家自然科学基金项目湖北省卫生健康委员会面上科研项目湖北省卫生和计划生育委员会联合基金项目中国金属学会冶金安全与健康分会健康卫生科研项目

81601934WJ2019M023WJ2019H223jkws201824

2024

中国矫形外科杂志
中国残疾人康复协会 中国人民解放军第八十八医院

中国矫形外科杂志

CSTPCD北大核心
影响因子:1.521
ISSN:1005-8478
年,卷(期):2024.32(14)
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