子宫内膜异位症痛敏机制与脊髓电刺激治疗
The research advances on mechanisms underlying endometriosis-associated hyperalgesia
摘要背景 子宫内膜异位症(endometriosis,EMT)是育龄期妇女最常见的疾病之一,慢性顽固性疼痛是其最主要的临床症状,近年来研究发现EMT疼痛合并有明显的神经系统变化. 目的 综述EMT疼痛的神经机制. 内容 综述EMT疼痛的动物模型及特点、外周及中枢敏化机制以及脊髓电刺激(spinal cord stimulation,SCS)对EMT疼痛的治疗效应. 趋向 阐明EMT痛敏机制,可望为该病的疼痛管理提供新方法.
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abstractsBackground Endometriosis (EMT) is one of the most common diseases in women of reproductive age,whose predominant clinical symptom is intractable chronic pain.Recent studies indicate that EMT-associated pain is related to significant changes in the nervous system.Objective To review the neural mechanisms underlying EMT-associated pain.Content To review the animal models and characteristics of EMT-associated pain,mechanisms of peripheral and central sensitization,and the effect of spinal cord stimulation (SCS) on the treatment of EMT-associated pain.Trend To illuminate the mechanisms underlying EMT-associated hyperalgesia may provide a new viable method for the management of EMT-associated pain.
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