脊髓电刺激治疗疼痛.ppt

疼痛病人恢复工作的百分比  J. McGill, J Occupational Medicine, 1968 Percentage Who Return to Work Length of Time Off Work 2% 19% 94% 脊髓刺激：恢复工作 * Out of those patients under age 65 慢性顽固性疼痛治疗适应症 ?刺激治疗 神经刺激治疗或鞘内药 物输注治疗 背部手术失败综合征 (FBS) ? 背部手术失败综合征 (FBS) 复杂性局灶性疼痛综合征(CRPS) ? 复杂性局灶性疼痛综合征(CRPS) ? 蛛网膜炎 ? 蛛网膜炎 神经根病 ? 痛性神经病 外周缺血性疼痛 ? 脊髓损伤 神经痛 ? 带状疱疹后疼痛 ? 幻肢痛 鞘内药物输注治疗 弥散性癌性疼痛 背部手术失败综合征 轴性躯干性疼痛 骨质疏松症 蛛网膜炎 内脏性疼痛 头部、颈部疼痛 1 Spinal cord stimulation and intrathecal drug delivery Use one screener for all Medtronic Neurostim systems. Provides external power source, for intraoperative use or trial screening use The DualScreen?Screener mimics the output of all Medtronic single and dual lead Neurostim systems. It includes: Single Stim?and Dual Stim?capabilities Control of up to 8 electrodes Digital accuracy to mimic permanent implant parameters Independent amplitude, pulse width, and electrode selection for each lead 5 T2-T4 55 主要临床适应症 慢性顽固性腰腿痛 背部手术失败综合征(Failed Back Surgery Syndrome, FBSS) 复杂性局灶性疼痛综合征(Complex Regional Pain Syndromes, CRPS) 幻肢痛/残肢痛(Phantom/stump limb pain) 周围缺血性疼痛(Chronic ischemic Pain) 慢性难治性心绞痛(Chronic Refractory Angina) 其他: 神经根病(Radiculopathies), 蛛网膜炎(Arachnoiditis), 带状疱疹后遗神经痛(Post Herpetic Neuralgia 慢性顽固性腰腿痛 Failed Back Surgery Syndrome (FBSS): The Failed Back Surgery Syndrome (FBSS) is a chronicpain syndrome that can affect patients who have been operated on, one or more times, for herniated discs. In 5% to 20% of patients already operated on, pain appears in the low back