台灣首例以鞘內嗎啡輸注幫浦治療背部手術失敗症候群

Use of Intrathecal Morphine Infusion for Failed Back Surgery Syndrome: First experience in Taiwan

背部手術失敗症候群（Failed back surger ysyndrome, FBSS）是背部手術併發症，治療上對外科醫師來說還是一個挑戰，在使用鞘內嗎啡輸注幫浦當作惡性以及非惡性造成的頑固性疼痛的替代性治療。作者以鞘內嗎啡輸注幫浦治療背部手術敗症候群，這是台灣首例以鞘內嗎啡輸注幫浦治療背部手術敗症候群，病人在使用後疼痛明顯改善以及日常生活活動力，針對這個台灣首例以鞘內嗎啡輸注幫浦治療背部手術敗症候群，雖然短期的對病人明顯疼痛改善以及活動力，但是長期的有效性及併發症須長期評估。

Failed back surgery syndrome (FBSS) is a well-recognized complication of spinal surgery and remains a challenge for surgeons. Intrathecal morphine therapy has been increasingly utilized in patients with malignant or non-malignant intractable pain who failed to respond to conventional treatment or could not tolerate these side effects of morphine, but has never been used for treatment of failed back surgery syndrome before in Taiwan. Consequently, this is the first study to use implanted intrathecal morphine infusion for treatment of failed back surgery syndrome in Taiwan. The clinical data of this first case were recorded and analyzed retrospectively to evaluate the efficiency and safety of implanted intrathecal morphine pump for the treatment of failed surgery syndrome. This patient demonstrated significant pain relief and functional status improvement without serious side effects. Although intrathecal morphine infusion was helpful in this first patient with failed back surgery syndrome, long-term efficacy, effectiveness, complication must be evaluated.