局解手术学杂志2019，Vol.28Issue(1)：63-66,4.DOI:10.11659/jjssx.07E018037
长时程骶神经电刺激治疗腰椎术后肛门直肠疼痛的临床疗效观察
Clinical observation of long-term sacral nerve stimulation for anal rectal pain after lumbar surgery
蔡少康 1蔡毅 1李颖波 1吴群 1贾诚谦 1樊永智1
作者信息
- 1. 华中科技大学同济医学院附属武汉市中心医院疼痛科,湖北 武汉 430061
- 折叠
摘要
Abstract
Objective To observed the clinical effect of long-term sacral nerve stimulation on anal rectal pain after lumbar surgery.Methods A total of 18 cases with functional anorectal pain (FARP) after lumbar surgery in our hospital from April 2015 to March 2018were selected, of whom 3 cases refuse to accept the treatment, the other 15 cases received sacral nerve electrical stimulation.The Pittsburgh Sleep Quality Index (PSQI) and simplified MPQ pain questionnaire were used to evaluate the clinical effect in preoperative and postoperative1 week, 1 month, 3 months, 6 months, 9 months and 1 year respectively.Results Fifteen cases of permanent sacral nerve stimulation before and after , The MPQ scale and PSQI of 15 patients with implantation of permanent sacral nerve stimulation in postoperative 1 week were better than those before implantation , the differences were significant( P＜ 0. 05) . In the MPQ scale , the PPI and PRI at 6 months after operation was better than those before implantation , the difference was statistically significant ( P ＜ O. 01 ) ; PSQI and V AS score after 2 months were better than those before implantation , the difference were statistically significant( P ＜ 0.01) , meanwhile in 1-year of follow-up , the PSQI and VAS score continued to decline , but the change was not obvious. Conclusion Long-term sacral nerve electrical stimulation in the treatment of lumbar anorectal pain has a good clinical effect , which can improve patients ' quality of life.关键词
骶神经/电刺激/腰椎术后综合征/肛门/直肠/疼痛Key words
sacral nerve/electrical stimulation/failed back surgery syndrome/anus/rectum/pain分类
医药卫生引用本文复制引用
蔡少康,蔡毅,李颖波,吴群,贾诚谦,樊永智..长时程骶神经电刺激治疗腰椎术后肛门直肠疼痛的临床疗效观察[J].局解手术学杂志,2019,28(1):63-66,4.
