Clinical observation of long-term sacral nerve stimulation for anal rectal pain after lumbar surgery
- VernacularTitle: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
- Author:
Shao-Kang CAI
1
;
Yi CAI
;
Ying-Bo LI
;
Qun WU
;
Cheng-Qian JIA
;
Yong-Zhi FAN
Author Information
1. 华中科技大学同济医学院附属武汉市中心医院疼痛科
- Keywords:
sacral nerve;
electrical stimulation;
failed back surgery syndrome;
anus;
rectum;
pain
- From:
Journal of Regional Anatomy and Operative Surgery
2019;28(1):63-66
- CountryChina
- Language:Chinese
-
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.
