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首页> 外文期刊>Current opinion in anaesthesiology >New advancements in spinal cord stimulation for chronic pain management
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New advancements in spinal cord stimulation for chronic pain management

机译：慢性疼痛管理脊髓刺激的新进展

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Purpose of reviewTo update the recent development of spinal cord stimulation (SCS) technology in the management of chronic pain.Recent FindingsEfficacy of SCS therapy has been significantly improved by the recent development of high frequency (HF-10kHz) stimulation, burst stimulation, and dorsal root ganglion (DRG) stimulation. A few latest SCS modalities are in clinical trial. New approaches to guide lead placement and advances in surgical lead are introduced.SummaryHF-10 SCS is free of paresthesia and associated with significantly better coverage of axial lower back pain. Burst stimulation invokes minimal paresthesia and provides better coverage of low back pain. DRG stimulation results in better outcomes in patients with complex regional pain syndrome. It requires less energy and delivers consistent stimulation regardless of postural variations. Clinical trials with new SCS modalities, such as Stimwaves, are under way to make SCS wireless. Intraoperative neuromonitoring and paresthesia atlas may be used to guide lead placement. Multicolumn surgical paddle leads enable a combination of independent current control with up to 32 contacts for better programming and better coverage.
机译：审查的目的更新脊髓刺激（SCS）技术在慢性疼痛中的管理中的最新发展。通过最近的高频发展（HF-10KHz）刺激，爆发刺激和背部的近似发展，SCS治疗的诱导效应已经显着改善根神经节（DRG）刺激。少数最新的SCS方式在临床试验中。介绍了引导铅置入和外科手术领先进展的新方法。ummaryHF-10SCS没有热情，并且与轴向腰部疼痛的显着覆盖率明显更好。突发刺激调用最小的感觉，并提供更好的腰痛覆盖。 DRG刺激导致复杂的区域疼痛综合征患者更好的结果。无论姿势变异如何，它都需要较少的能量并提供一致的刺激。具有新的SCS方式的临床试验，例如刺激浪，可以使SCS无线。术中的神经监测和感扰地图集可用于引导铅放置。多彩型外科桨式引线使得独立电流控制的组合能够具有多达32个触点，以便更好地编程和更好的覆盖范围。

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