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AOSIS2016\u5e74Vaccaro\u6559\u6388\u7b49\u63d0\u51faAO Spine\u80f8\u8170\u690e\u635f\u4f24\u8bc4\u5206&nbsp;(TL AOSIS)\uff0c\u7528\u4e8e\u6307\u5bfc\u624b\u672f\u6216\u4fdd\u5b88\u6cbb\u7597\uff08Eur Spine J. 2016 Apr;25(4):1087-94.\uff09AO Classification\uff1aA4B2Points: A4 B2 N3=152\uff09LSC classification4\u3001\u6cbb\u7597\u65b9\u6848\uff081\uff09\u672f\u524d\u8bca\u65ad1\uff09\u80f8\u8170\u690e\u9aa8\u6298\u4f34\u810a\u9ad3\u635f\u4f242\uff09\u622a\u762b3\uff09\u810a\u9ad3\u635f\u4f24\u540e\u5267\u70c8\u9ebb\u6728\u75bc\u75db4\uff09\u9648\u65e7\u6027\u9885\u5185\u635f\u4f24\uff082\uff09\u624b\u672f\u9009\u62e91\uff09\u80f8\u8170\u690e\u540e\u8def\u9aa8\u6298\u5207\u5f00\u590d\u4f4d\u51cf\u538b\u5185\u56fa\u5b9a\u672f\uff08\u56fa\u5b9aT10- L1 T12\u540e\u8def\u690e\u677f\u51cf\u538b\uff09 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2cm \u7684\u8ddd\u79bb\uff0c\u56ca\u888b\u539a\u5ea6\u4e0d\u8d85\u8fc7\u76ae\u4e0b 4cm\uff08\u514d\u5145\u7535\u523a\u6fc0\u566837702\uff09\u3002\u79fb\u9664\u4f53\u5185\u5ef6\u957f\u5bfc\u7ebf\uff08\u5c0f\u6273\u624b\u62c6\u5f00\u8fde\u63a5\u5904\uff09\uff0c\u5236\u4f5c\u5e94\u529b\u91ca\u653e\u5708\uff08\u5efa\u8bae\u8003\u8651\u5168\u8eab\u81f3\u5c11\u4e24\u4e2a\uff0c\u51cf\u5c11\u690d\u5165\u7cfb\u7edf\u8fde\u63a5\u5904\u53d7\u5230\u7684\u5e94\u529b\uff09\u3002INS \u653e\u7f6e\u7684\u4f4d\u7f6e\uff0c\u9700\u672f\u524d\u548c\u60a3\u8005\u6c9f\u901a\uff0c\u907f\u5f00\u9aa8\u6027\u7ed3\u6784\u548c\u8170\u5e26\uff0c\u653e\u7f6e\u4e8e\u75c5\u4eba\u611f\u89c9\u8f83\u4e3a\u8212\u9002\u7684\u4f4d\u7f6e\u3002\u7528\u7f1d\u7ebf\u951a\u5b9a\u523a\u6fc0\u5668INS\u30023\uff09&nbsp;\u8fde\u63a5\u3001\u6d4b\u8bd5\u3001\u7f1d\u5408\uff1a\u6253\u76ae\u4e0b\u96a7\u9053\uff0c\u8fde\u63a5\u7535\u6781\u548c\u523a\u6fc0\u5668\u3002\u672f\u4e2d\u6d4b\u8bd5\u7535\u963b\u6b63\u5e38\uff0c\u8868\u793a\u8fde\u63a5\u826f\u597d\u3002\u7f1d\u5408\u56ca\u888b\u30026\u3001\u672f\u540e\u6062\u590d\u548c\u7a0b\u63a7\u4e00\u671f\uff1a&nbsp;\u672f\u540e\u7b2c1\u5929\uff0c\u672f\u540e\u5f00\u673a\uff0c\u8bbe\u7f6e\u89e6\u70b9\u5982\u56fe\u6240\u793a\uff0c\u8109\u5bbd240us\uff0c\u9891\u7387300Hz\uff0c\u7535\u538b1.1v\uff0c\u67e5\u4f53\uff1a\u4f24\u53e3\u6062\u590d\u53ef\uff0c\u67e5\u4f53\u914d\u5408\u4f73\uff0c\u60a3\u8005\u75bc\u75dbVAS 3 \u5206\uff0c\u808c\u529b\u672a\u89c1\u660e\u663e\u63d0\u5347\uff0c\u62df2-3\u5468\u5de6\u53f3\u540e\u63a5\u53d7\u4e8c\u671f\u523a\u6fc0\u5668\u690d\u5165\u3002\u60a3\u8005\u672f\u540e3\u5929\u590d\u67e5\u80f8\u8170\u690e\u6b63\u4fa7\u4f4d\u7247\u63d0\u793a\u8170\u690e\u5185\u56fa\u5b9a\u4f4d\u7f6e\u4f73\uff0c\u7535\u6781\u4f4d\u7f6e\u4f73\u3002\u4e8c\u671f\uff1a\u672f\u540e\u7ef4\u6301\u539f\u70b9\u523a\u6fc0\u53c2\u6570\uff0c\u67e5\u4f53\uff1a\u60a3\u8005\u75bc\u75db\u6301\u7eed\u63a7\u5236\u5728VAS 3\u5206\uff0c\u5de6\u4fa7\u4e0b\u80a2\u808c\u529b2\u7ea7 \uff0c\u53f3\u4fa7\u4e0b\u80a2\u808c\u529b1\u7ea7 \uff08\u89c1\u89c6\u9891\uff09\uff0c\u4f24\u53e3\u6062\u590d\u4f73\uff0c\u8f6c\u5165\u5eb7\u590d\u533b\u9662\u914d\u5408\u540e\u7eed\u8fd0\u52a8\u529f\u80fd\u6cbb\u7597\u3002\uff08\u672f\u540eVAS\u8bc4\u5206\uff09\u767d\u7389\u6811\u4e3b\u4efb\uff0c\u5f20\u56fd\u53cb\u526f\u6559\u6388\u56e2\u961f\u5b8c\u6210\u672f\u524d\u8bc4\u4f30\u548c\u624b\u672f\uff0c\u90b5\u6770\u3001\u7a0b\u4e9a\u519b\u4e3b\u6cbb\u533b\u5e08\u6307\u5bfc\u60a3\u8005\u7684\u672f\u540e\u5eb7\u590d\u3002                             7\u3001\u5168\u7403\u810a\u9ad3\u635f\u4f24\u540e\u75bc\u75db\u548c\u622a\u762b\u6cbb\u7597\u5171\u8bc6\uff1a\u810a\u9ad3\u635f\u4f24\u540e\u75bc\u75db\uff08spinal cord injury pain, SCIP\uff09\u662f\u810a\u9ad3\u635f\u4f24\u540e\u5e38\u89c1\u7684\u540e\u9057\u75c7\u4e4b\u4e00\uff0c\u7814\u7a76\u663e\u793a\u5927\u7ea62\/3\u7684\u810a\u9ad3\u635f\u4f24\u60a3\u8005\u4f1a\u53d1\u751fSCIP\u3002SCIP\u53ef\u4ee5\u8bf4\u662f\u810a\u9ad3\u635f\u4f24\u540e\uff0c\u60a3\u8005\u6700\u5927\u7684\u75db\u82e6\u3002\u5927\u91cf\u7814\u7a76\u663e\u793a\u7ea611%\u7684\u810a\u9ad3\u635f\u4f24\u60a3\u8005\u8ba4\u4e3a\u75bc\u75db\u5bf9\u4f24\u540e\u5de5\u4f5c\u7684\u5f71\u54cd\u8d85\u8fc7\u8fd0\u52a8\u529f\u80fd\u969c\u788d\u7684\u5f71\u54cd\uff0c37%\u7684\u9888\u6bb5\u6216\u9ad8\u80f8\u6bb5\u810a\u9ad3\u635f\u4f24\u60a3\u8005\u300123%\u7684\u4f4e\u80f8\u6bb5\u6216\u8170\u6bb5\u810a\u9ad3\u635f\u4f24\u60a3\u8005\u5b81\u53ef\u4e27\u5931\u5927\u5c0f\u4fbf\u529f\u80fd\u548c\u6027\u529f\u80fd\uff0c\u4e5f\u4e0d\u613f\u610f\u5fcd\u53d7SCIP\u7684\u6298\u78e8\u3002\u672c\u4f8b\u60a3\u8005\u4e3a\u635f\u4f24\u5e73\u9762\u4ee5\u4e0b\u795e\u7ecf\u75c5\u7406\u6027\u75bc\u75db\uff0c\u75bc\u75db\u4f4d\u4e8e\u810a\u9ad3\u635f\u4f24\u5e73\u9762\u4ee5\u4e0b\u8eab\u4f53\u7684\u90e8\u5206\u533a\u57df\uff0c\u4f34\u6709\u5927\u817f\u611f\u89c9\u51cf\u9000\u53ca\u819d\u4ee5\u4e0b\u611f\u89c9\u6d88\u5931\uff0c\u53ef\u8868\u73b0\u4e3a\u81ea\u53d1\u6027\u75bc\u75db\uff0c\u4e5f\u53ef\u8868\u73b0\u4e3a\u8bf1\u53d1\u6027\u75bc\u75db\uff0c\u60c5\u7eea\u6ce2\u52a8\u751a\u81f3\u5916\u754c\u58f0\u97f3\u53d8\u5316\u7b49\u56e0\u7d20\u5e38\u53ef\u8bf1\u53d1\u75bc\u75db\u3002\u8fd9\u79cd\u635f\u4f24\u5e73\u9762\u4ee5\u4e0b\u795e\u7ecf\u75c5\u7406\u6027\u75bc\u75db\u591a\u5728\u810a\u9ad3\u635f\u4f24\u540e\u5f88\u65e9\u51fa\u73b0\uff0c\u75db\u611f\u7684\u6027\u8d28\u5927\u591a\u4e3a\u70e7\u707c\u6837\u3001\u5200\u5272\u6837\u3001\u9488\u523a\u6837\u3001\u7535\u51fb\u6837\uff0c\u60a3\u8005\u5e38\u4f34\u6709\u75db\u89c9\u8fc7\u654f\u75c7\u72b6\u3002\u76ee\u524d\u5bf9\u4e8e\u6b64\u7c7b\u75bc\u75db\u6cbb\u7597\u6548\u679c\u6b20\u4f73\u3002\u810a\u9ad3\u7535\u523a\u6fc0\u672f\uff08spinal cord stimulation\uff0cSCS\uff09\u662f\u5f53\u524d\u6cbb\u7597\u6162\u6027\u987d\u56fa\u6027\u75bc\u75db\u7684\u4e00\u79cd\u5148\u8fdb\u3001\u5fae\u521b\u3001\u53ef\u9006\u7684\u7597\u6cd5\uff0c\u4e34\u5e8a\u4f7f\u7528\u65e5\u76ca\u5e7f\u6cdb\u3002\u5176\u6700\u65e9\u539f\u7406\u4f9d\u6258\u4e8e\u201c\u95f8\u95e8\u7406\u8bba\u201d\uff0c\u5373\u901a\u8fc7\u690d\u5165\u8bbe\u5907\u53d1\u9001\u5f31\u7535\u8109\u51b2\uff0c\u523a\u6fc0\u810a\u9ad3\u80cc\u4fa7\u7279\u5b9a\u8282\u6bb5\u7684\u5927\u76f4\u5f84\u795e\u7ecf\u7ea4\u7ef4\uff0c\u5728\u810a\u9ad3\u6c34\u5e73\u5c06\u5916\u5468\u611f\u89c9\u795e\u7ecf\uff08\u5c0f\u76f4\u5f84\u795e\u7ecf\u7ea4\u7ef4\uff09\u4f20\u5165\u7684\u75db\u89c9\u4ee5\u4e00\u79cd\u53ef\u4ee5\u5fcd\u53d7\u7684\u9165\u9ebb\u611f\u66ff\u4ee3\uff0c\u4ece\u800c\u963b\u65ad\u75db\u89c9\u4e0a\u4f20\u5230\u5927\u8111\u4e2d\u67a2\uff0c\u8fbe\u5230\u7f13\u89e3\u75bc\u75db\u7684\u6548\u679c\u3002\u8be5\u7597\u6cd5\u5728\u56fd\u5185\u5916\u88ab\u5e7f\u6cdb\u5e94\u7528\u4e8e\u8170\u690e\u6216\u9888\u690e\u624b\u672f\u540e\u7684\u4e0b\u80a2\u6216\u4e0a\u80a2\u795e\u7ecf\u75c5\u7406\u6027\u75bc\u75db\u3001\u81c2\u4e1b\u635f\u4f24\u540e\u75bc\u75db\u3001\u5468\u56f4\u795e\u7ecf\u635f\u4f24\u6240\u81f4\u7684\u795e\u7ecf\u75c5\u7406\u6027\u75bc\u75db\u3001\u810a\u9ad3\u635f\u4f24\u6027\u75bc\u75db\u7b49\uff08Rigoard P,&nbsp;et al. Pain. 2019;&nbsp;Zuidema X, et al. Neuromodulation.2022\uff09\u3002\u8fd1\u5e74\u6765\uff0c\u8d8a\u6765\u8d8a\u591a\u6587\u732e\u548c\u75c5\u4f8b\u62a5\u9053\u810a\u9ad3\u7535\u523a\u6fc0\u5728\u5916\u4f24\u540e\u622a\u762b\u60a3\u8005\u4e2d\u7684\u5e94\u7528\u3002\u8be5\u7597\u6cd5\u4e0d\u4ec5\u53ef\u4ee5\u7f13\u89e3\u810a\u9ad3\u635f\u4f24\u540e\u7684\u795e\u7ecf\u75c5\u7406\u6027\u75bc\u75db\uff0c\u4e5f\u53ef\u4ee5\u5bf9\u8fd0\u52a8\u529f\u80fd\u6062\u590d\u6709\u4fc3\u8fdb\u4f5c\u7528\u30022022\u5e74Kathe\u7b49\u53d1\u8868\u5728Nature\u9876\u7ea7\u671f\u520a\u7684\u6587\u7ae0\u62a5\u9053\uff0c\u5176\u53ef\u80fd\u7684\u673a\u5236\u5728\u4e8e\uff0c\u810a\u9ad3\u7535\u523a\u6fc0\u53ef\u9632\u6cbb\u795e\u7ecf\u65ad\u7aef\u8fd1\u4fa7\u7684\u795e\u7ecf\u5143\u80de\u4f53\u51cb\u4ea1\uff0c\u5bf9\u810a\u9ad3\u524d\u89d2\u8fd0\u52a8\u795e\u7ecf\u5143\u6b63\u5e38\u7ed3\u6784\u548c\u529f\u80fd\u7684\u7ef4\u6301\u5177\u6709\u4fdd\u62a4\u4f5c\u7528\uff0c\u4e14\u6709\u6548\u4fc3\u8fdb\u5468\u56f4\u795e\u7ecf\u8f74\u7a81\u7684\u518d\u751f\uff0c\u5e76\u53ef\u4ee5\u9884\u9632\u5468\u56f4\u795e\u7ecf\u635f\u4f24\u540e\u808c\u8089\u7684\u5931\u795e\u7ecf\u840e\u7f29\u3002\u56e0\u6b64\uff0c\u5728\u810a\u9ad3\u635f\u4f24\u65e9\u671f\u5e94\u7528\u810a\u9ad3\u7535\u523a\u6fc0\uff0c\u65e2\u80fd\u7f13\u89e3\u75bc\u75db\uff0c\u4e5f\u53ef\u80fd\u5bf9\u8fd0\u52a8\u529f\u80fd\u5eb7\u590d\u5177\u6709\u4fc3\u8fdb\u4f5c\u7528\uff0c\u6216\u662f\u4e00\u79cd\u503c\u5f97\u63a2\u7d22\u7684\u7597\u6cd5\u3002\uff08Kathe C, et al. Nature. 2022\uff09\u79d1\u5ba4\u4ecb\u7ecd\u4e0a\u6d77\u957f\u6d77\u533b\u9662\uff08\u519b\u533b\u5927\u5b66\u6d77\u519b\u7b2c\u4e00\u9644\u5c5e\u533b\u9662\uff09\u9aa8\u79d1\u810a\u67f1\u5916\u79d1\u662f\u56fd\u5bb6\u91cd\u70b9\u5b66\u79d1\u3001\u56fd\u5bb6\u4e34\u5e8a\u91cd\u70b9\u4e13\u79d1\u3001\u4e0a\u6d77\u5e02\u4e34\u5e8a\u91cd\u70b9\u4e13\u79d1\u3001\u4e2d\u56fd\u4eba\u6c11\u89e3\u653e\u519b\u810a\u67f1\u5916\u79d1\u4e2d\u5fc3\u548c\u519b\u533b\u5927\u5b66\u6d77\u519b\u2014\u2014\u65b0\u52a0\u5761\u56fd\u7acb\u5927\u5b66\u810a\u67f1\u7578\u5f62\u7814\u7a76\u4e2d\u5fc3\u3002\u957f\u6d77\u533b\u9662\u9aa8\u79d1\u810a\u67f1\u5916\u79d1\u6210\u7acb\u4e8e1997\u5e74\uff0c\u662f\u56fd\u5185\u6700\u65e9\u6210\u7acb\u7684\u810a\u67f1\u5916\u79d1\u4e9a\u4e13\u4e1a\u79d1\u5ba4\u4e4b\u4e00\u3002\u5728\u51e0\u4ee3\u957f\u6d77\u9aa8\u79d1\u4eba\u7684\u52aa\u529b\u4e0b\uff0c\u79d1\u5ba4\u76ee\u524d\u5df2\u53d1\u5c55\u6210\u4e3a\u6280\u672f\u529b\u91cf\u96c4\u539a\uff0c\u878d\u533b\u6559\u7814\u4e3a\u4e00\u4f53\u7684\u91cd\u70b9\u5b66\u79d1\uff0c\u5c24\u5176\u5728\u810a\u67f1\u7578\u5f62\u9886\u57df\u4fdd\u6301\u56fd\u5185\u9886\u5148\u3001\u56fd\u9645\u5148\u8fdb\u6c34\u5e73\uff0c\u6240\u6cbb\u7597\u7684\u60a3\u8005\u9664\u904d\u5e03\u56fd\u518529\u4e2a\u7701\u5e02\u81ea\u6cbb\u533a\u5916\uff0c\u8fd8\u6709\u6765\u81ea\u610f\u5927\u5229\u3001\u632a\u5a01\u3001\u897f\u73ed\u7259\u3001\u82f1\u56fd\u3001\u52a0\u62ff\u5927\u3001\u5df4\u897f\u548c\u7f8e\u56fd\u7b4913\u4e2a\u56fd\u5bb6\u548c\u5730\u533a\u7684\u7591\u96be\u75c5\u4f8b\uff1b\u6cbb\u7597\u7684\u7591\u96be\u75c5\u4f8b\u548c\u5438\u5f15\u7684\u56fd\u5916\u60a3\u8005\u88ab\u4e2d\u592e\u7535\u89c6\u53f0\u3001\u9999\u6e2f\u51e4\u51f0\u536b\u89c6\u3001\u4e1c\u65b9\u536b\u89c6\u7b4930\u4f59\u5bb6\u5883\u5185\u5916\u5a92\u4f53\u5ba3\u4f20\u62a5\u9053\u3002\u76f8\u5173\u7814\u7a76\u53d1\u8868\u8bba\u6587500\u4f59\u7bc7\uff0c\u5176\u4e2dSCI\u8bba\u6587280\u4f59\u7bc7\uff0c\u5728\u810a\u67f1\u5916\u79d1\u9886\u57df\u6743\u5a01\u671f\u520aSpine\u53d1\u8868\u8bba\u845730\u4f59\u7bc7\uff0c\u4e3b\u7f16\u300a\u810a\u67f1\u7578\u5f62\u4e09\u7ef4\u77eb\u5f62\u7406\u8bba\u300b\u3001\u300a\u810a\u67f1\u4fa7\u51f8\u5916\u79d1\u5b66\u300b\u7b49\u4e13\u8457\u8bd1\u845730\u4f59\u90e8\u3002\u8fd115\u5e74\u6765\uff0c\u957f\u6d77\u533b\u9662\u9aa8\u79d1\u810a\u67f1\u5916\u79d1\u83b7\u5f97\u56fd\u5bb6\u79d1\u6280\u8fdb\u6b65\u4e8c\u7b49\u5956\u3001\u4e2d\u534e\u533b\u5b66\u79d1\u6280\u5956\u4e00\u7b49\u5956\u3001\u6559\u80b2\u90e8\u79d1\u6280\u8fdb\u6b65\u4e00\u7b49\u5956\u3001\u4e0a\u6d77\u5e02\u79d1\u6280\u8fdb\u6b65\u4e00\u7b49\u5956\u3001\u4e0a\u6d77\u533b\u5b66\u79d1\u6280\u5956\u4e00\u7b49\u5956\u7b49\u5404\u7c7b\u56fd\u5bb6\u3001\u519b\u961f\u53ca\u7701\u90e8\u7ea7\u79d1\u6280\u5956\u52b110\u4f59\u9879\u3002&nbsp; &nbsp; &nbsp; &nbsp; #artContent h1#artContent p img#artContent table<\/p>\n","protected":false},"excerpt":{"rendered":"<p>1\u3001\u60a3\u8005\u672f\u524d\u60c5\u51b5\u53ca\u80cc\u666f\uff1a\u57fa\u672c\u60c5\u51b5\uff1a\u7537\u6027\uff0c24\u5c81\u4e3b\u8bc9&nbsp;\uff1a\u9ad8\u7a7a\u5760\u843d\u81f4\u53cc\u4e0b\u80a2 &hellip; <a href=\"http:\/\/zydq.1006ss.com\/?p=66279\">\u7ee7\u7eed\u9605\u8bfb <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[70],"tags":[],"class_list":["post-66279","post","type-post","status-publish","format-standard","hentry","category-70"],"_links":{"self":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts\/66279","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=66279"}],"version-history":[{"count":0,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts\/66279\/revisions"}],"wp:attachment":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=66279"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=66279"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=66279"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}