摘要
本文报道1例左侧上下肢烧灼样疼痛两年的患者,经检查确诊为脑卒中后中枢性疼痛(CPSP)。该患者曾采用药物、针灸等治疗,但效果不佳,且疼痛进行性加重,严重影响睡眠及生活。经超声联合C型臂引导下腰背根神经节(DRG)高电压长时程脉冲射频神经调控治疗后肢体疼痛迅速缓解,随访3个月疼痛未复发。DRG脉冲射频缓解CPSP未见文献报道,此疗法可能为CPSP的治疗提供简单易行的新方法。
One patient with limb burning pain diagnosed as central post-stroke pain(CPSP)used to be treated with various medications and acupuncture,but the pain worsened progressively,seriously affected sleep and daily life.The pain was relieved rapidly by the high-voltage long-duration pulsed radiofrequency treatment to lumbar dorsal root ganglion(DRG)under the guidance of ultrasound and C-arm and no recurrence in 3 months follow-up.This report may provide a simple and feasible new therapy for the CPSP.
作者
张淼
张晓丹
张轩
李向鹤
景海荣
吕岩
Zhang Miao;Zhang Xiaodan;Zhang Xuan;Li Xianghe;Jing Hairong;Lyu Yan(Fifth Department of Pain Medicine,Algology Hospital,Xi'an Daxing Hospital,Xi'an City,Shaanxi Province 710002,China;Department of Pain Medicine,Xijing Hospital,Forth Military Medical University,Xi'an City,Shaanxi Province 710032,China)
出处
《中华疼痛学杂志》
2024年第2期295-298,共4页
Chinese Journal Of Painology
关键词
背根神经节
射频
脉冲
高电压
长时程
脑卒中后中枢性疼痛
Dorsal root ganglion
Radiofrequency
Pulsed
High-voltage
Long-duration
Central post-stroke pain
