CAJ | 학술논문

运动皮质电刺激(MCS)于1989年首次应用于中枢性疼痛的临床治疗.近年来,这项技术也开始用于治疗卒中后运动障碍并取得了较好的疗效.其机制可能包括调节皮质-基底节纤维联系环路、兴奋患侧运动皮质但抑制健侧运动皮质、调节脑组织可塑性以及电活动重新同步化等.文章就MCS治疗卒中后运动障碍的可能机制、手术方法、临床疗效以及存在的问题进行了综述.
운동피질전자격(MCS)우1989년수차응용우중추성동통적림상치료.근년래,저항기술야개시용우치료졸중후운동장애병취득료교호적료효.기궤제가능포괄조절피질-기저절섬유련계배로、흥강환측운동피질단억제건측운동피질、조절뇌조직가소성이급전활동중신동보화등.문장취MCS치료졸중후운동장애적가능궤제、수술방법、림상료효이급존재적문제진행료종술.
Motor cortex electrical stimulation was first used in the clinical treatment of central pain in 1989.Recently,this technique has been used to treat post-stroke movement disorders and better efficacy has also been obtained.Its mechanisms may include regulating cortex-basal ganglia circuits,exciting the activation of the motor cortex on the affected side but inhibiting the activation of the motor cortex on the contralateral side.regulating the plasticity of brain and resynchronization of electric activity.This article reviews the possible mechanisms,operative methods.clinical efficacy and existing problems.