pmjТихоокеанский медицинский журналPacific Medical Journal1609-1175TGMUpmj-921Research ArticleМЕТОДИКАMETHODSОпыт применения хронической эпидуральной стимуляции спинного мозгаApplying chronic epidural stimulation of spinal cordДунцП. В.DountzP. V.noemail@neicon.ruПакО. И.PakO. I.olegpak@rambler.ruЕлицкийА. С.ElitskiyA. S.noemail@neicon.ruГорбаренкоР. С.GorbarenkoR. S.noemail@neicon.ruВладивостокский государственный медицинский университетРоссияVladivostok State Medical UniversityRussian FederationКраевой клинический центр специализированных видов медицинской помощиРоссияRegional Clinical Centre of Specialised Medical CareRussian FederationПриморская краевая клиническая больница № 1РоссияPrimorsky Regional Clinical Hospital No. 1Russian Federation201228092012038891Copyright © Дунц П.В., Пак О.И., Елицкий А.С., Горбаренко Р.С., 20122012Дунц П.В., Пак О.И., Елицкий А.С., Горбаренко Р.С.Dountz P.V., Pak O.I., Elitskiy A.S., Gorbarenko R.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.tmj-vgmu.ru/jour/article/view/921

Описан опыт применения хронической эпидуральной электростимуляции спинного мозга у 34 пациентов со спастическими и болевыми синдромами, у которых не было отмечено эффекта от консервативного лечения. После положительной тестовой стимуляции больным имплантировался подкожный генератор импульсов. Хороший результат был отмечен в 61,8 % и удовлетворительный - в 23,5 % случаев. В одном наблюдении зафиксировано инфицирование места стояния генератора импульсов.

The paper describes the practice of applying chronic epidural electrostimulation of the spinal cord in 34 patients with spastic and pain syndromes with no effects from the conservative therapy. Upon the positive test stimulation, the patients underwent the implantation of the subcutaneous impulse generator. The good and satisfactory results were marked in 61,8% and 23,5% of cases, respectively. One medical surveillance showed the ingress of infection in the area where the impulse generator stayed.

спинной мозгэпидуральная стимуляцияспастический синдромболевой синдромspinal cordepidural stimulationspastic syndromepain syndromeReferencesKukushkin M.L., Hitrov N.K. The common pain pathology. M.: Medicina, 2004. 144 p.Kukushkin M.L., Hitrov N.K. The common pain pathology. M.: Medicina, 2004. 144 p.Parfenov V.A. Pathogenesis and the treatment of spasticity, Russkij medicinskij zhurnal. 2001. Vol. 9, No. 25. P. 1170-1174.Parfenov V.A. Pathogenesis and the treatment of spasticity, Russkij medicinskij zhurnal. 2001. Vol. 9, No. 25. P. 1170-1174.Shabalov V.A., Dekopov A.V, Tomskij A.A., Troshina E.M. A differentiated approach to the neurosurgical treatment of motor pathology in cerebral palsy, Detskaja ipodrostkovaja reabilitacija. 2008. No. 2. P. 5-10.Shabalov V.A., Dekopov A.V, Tomskij A.A., Troshina E.M. A differentiated approach to the neurosurgical treatment of motor pathology in cerebral palsy, Detskaja ipodrostkovaja reabilitacija. 2008. No. 2. P. 5-10.Shabalov V.A., Dekopov A.V, Troshina E.M. Preliminary treatment results of the cerebral palsy spastic form by chronic epidural neurostimulation lumbar spinal cord, Vopr. nejrohirurgii. 2006. No.3. P. 10-13.Shabalov V.A., Dekopov A.V, Troshina E.M. Preliminary treatment results of the cerebral palsy spastic form by chronic epidural neurostimulation lumbar spinal cord, Vopr. nejrohirurgii. 2006. No.3. P. 10-13.Shabalov V.A., Isaguljan Je.D. Neuromodulation - modern surgical methods of pain, Pacific Medical Journal [Tihookeanskij medicinskij zhurnal] 2008. No. 1. P. 6-21.Shabalov V.A., Isaguljan Je.D. Neuromodulation - modern surgical methods of pain, Pacific Medical Journal [Tihookeanskij medicinskij zhurnal] 2008. No. 1. P. 6-21.Shtribel’ H.V. Therapy of chronic pain: a practical guide, eds. N.A. Osipovoj et al., M.: GJeOTAR-Media, 2005. 304 p.Shtribel’ H.V. Therapy of chronic pain: a practical guide, eds. N.A. Osipovoj et al., M.: GJeOTAR-Media, 2005. 304 p.Damiano J., Quinlivan B., Owen P. et al. What does the Ashworth scale really measure and are instrumented measures more valid and precise? Developmental Medicine & Child Neurology. 2002. No. 44. P. 112-118.Damiano J., Quinlivan B., Owen P. et al. What does the Ashworth scale really measure and are instrumented measures more valid and precise? Developmental Medicine & Child Neurology. 2002. No. 44. P. 112-118.Dianne J.R. Motor Function Measurement: user’s manual. Ontario: Mc. Master University, 2002.Dianne J.R. Motor Function Measurement: user’s manual. Ontario: Mc. Master University, 2002.Kim H.S., Steinbok P., Wickenheiser D. Predictors of poor outcome after selective dorsal rhizotomy in treatment of spastic cerebral palsy, Childs Nerv. Syst. 2005. May. P. 19-21.Kim H.S., Steinbok P., Wickenheiser D. Predictors of poor outcome after selective dorsal rhizotomy in treatment of spastic cerebral palsy, Childs Nerv. Syst. 2005. May. P. 19-21.Melzak R. The short-form McGill pain questionnaire, Pain. 1987. Vol. 30. P. 191-197.Melzak R. The short-form McGill pain questionnaire, Pain. 1987. Vol. 30. P. 191-197.Pinter M. Epidural electrical stimulation of posterior structures of the human lumbosacral cord: control of spasticity, Spinal cord. 2000. No. 38. P. 524-531.Pinter M. Epidural electrical stimulation of posterior structures of the human lumbosacral cord: control of spasticity, Spinal cord. 2000. No. 38. P. 524-531.

The authors declare that there are no conflicts of interest present.