Clinical observation of long-term sacral nerve stimulation for anal rectal pain after lumbar surgery

CAI Shao-kang; CAI Yi; LI Ying-bo; WU Qun; JIA Cheng-qian; FAN Yong-zhi

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Clinical observation of long-term sacral nerve stimulation for anal rectal pain after lumbar surgery

更新时间：2023-05-22

- Clinical observation of long-term sacral nerve stimulation for anal rectal pain after lumbar surgery
- null Issue 1, (2019)
- 作者机构：
  
  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
- 作者简介：
- 基金信息：
- DOI：
  CLC：
- Published：2019，
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CAI Shao-kang, CAI Yi, LI Ying-bo, et al. Clinical observation of long-term sacral nerve stimulation for anal rectal pain after lumbar surgery. [J]. null (1).(2019)
DOI：

CAI Shao-kang, CAI Yi, LI Ying-bo, et al. Clinical observation of long-term sacral nerve stimulation for anal rectal pain after lumbar surgery. [J]. null (1).(2019) DOI：

摘要

目的观察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。方法选择2015年4月至2018年3月在我院行腰椎手术后出现肛周直肠疼痛（FARP）的患者18例，其中3例拒绝治疗，其余15例患者使用骶神经电刺激疗法，分别在术前、术后1周、1个月、3个月、6个月、9个月、12个月采用匹兹堡睡眠质量指数(PSQI)、简化MPQ疼痛询问量表进行疗效分析评估。结果 15例患者长时程骶神经刺激置入前后，通过MPQ量表和匹兹堡睡眠质量指数积分变化比较得知，术后1周相关指标评分与术前比较，差异有统计学意义（P＜0.05）；其中MPQ量表中，术后随访PPI、PRI在6个月后积分同术前比较，差异有极显著性统计学意义（P＜0.01），术后随访PSQI及VAS，2个月后积分同术前比较，差异有极显著性统计学意义（P＜0.01），同时术后12个月随访发现随着时间的延长评分仍呈持续下降趋势，变化波动不明显。结论长时程骶神经电刺激治疗腰椎术后肛门直肠疼痛可有效改善不适症状，提高患者生活质量。

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 2018 were 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 postoperative 1 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<0.01);PSQI and VAS 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

Keywords

sacral nerveelectrical stimulationfailed back surgery syndromeanusrectumpain

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