关键词: Chest Pain Nerve Block Nerve Pain Refractory Pain

Mesh : Humans Female Nerve Block / methods Pain, Postoperative / etiology therapy Thoracic Nerves Ultrasonography, Interventional / methods Breast Neoplasms

来  源:   DOI:10.1111/papr.13341

Abstract:
BACKGROUND: Persistent pain following breast surgery is common and may be challenging to treat. In patients refractory to conservative treatments, ultrasound-guided fascial plane blocks of thoracic nerves can be a useful option.
RESULTS: This type of neuro blockade technique provides advantages in terms of safety and efficacy that are convenient for physicians managing refractory and complex cases of post-breast surgery syndrome.
CONCLUSIONS: This technical review aims to present an up-to-date summary of the most common ultrasound-guided fascial plane blocks for chronic pain in post-breast surgery patients, provide a detailed technical description of each intervention, and propose preferred injections based on the anatomical location of the pain.
摘要:
背景:乳房手术后的持续性疼痛是常见的,并且可能具有挑战性。在保守治疗难以治疗的患者中,超声引导下的胸神经筋膜平面阻滞可能是一个有用的选择。
结果:这种类型的神经阻滞技术在安全性和有效性方面具有优势,便于医生处理难治性和复杂的乳房手术后综合征病例。
结论:本技术综述旨在提供最新的超声引导筋膜平面阻滞治疗乳腺术后患者慢性疼痛的最新总结,提供每个干预的详细技术描述,并根据疼痛的解剖位置提出首选注射。
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