国际麻醉学与复苏杂志   2017, Issue (2): 0-0
    
子宫内膜异位症痛敏机制与脊髓电刺激治疗
利雪阳, 张美娟, 王云, 谢芳1()
1.首都医科大学附属北京朝阳医院
The research advances on mechanisms underlying endometriosis-associated hyperalgesia
 全文:
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。

关键词: 子宫内膜异位症; 外周敏化; 中枢敏化
Abstract:

Background 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.

Key words: Endometriosis; Peripheral sensitization; Central sensitization