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超声引导注射治疗腹部皮神经卡压综合征

Successful treatment of abdominal cutaneous entrapment syndrome using ultrasound guided injection.

机构信息

Division of Rheumatology, Department of Internal Medicine, Chonbuk National University Medical School and Research Institute of Clinical Medicine, Jeonju, Korea.

出版信息

Korean J Pain. 2013 Jul;26(3):291-4. doi: 10.3344/kjp.2013.26.3.291. Epub 2013 Jul 1.

Abstract

There are various origins for chronic abdominal pain. About 10-30% of patients with chronic abdominal pain have abdominal wall pain. Unfortunately, abdominal wall pain is not thought to be the first origin of chronic abdominal pain; therefore, patients usually undergo extensive examinations, including diagnostic laparoscopic surgery. Entrapment of abdominal cutaneous nerves at the muscular foramen of the rectus abdominis is a rare cause of abdominal wall pain. If abdominal wall pain is considered in earlier stage of chronic abdominal pain, unnecessary invasive procedures are not required and patients will reach symptom free condition as soon as the diagnosis is made. Here, we report a case of successful treatment of a patient with abdominal cutaneous nerve entrapment syndrome by ultrasound guided injection therapy.

摘要

慢性腹痛有多种病因。约 10-30%的慢性腹痛患者有腹壁痛。不幸的是,腹壁痛通常不是慢性腹痛的首要病因,因此患者通常会接受广泛的检查,包括诊断性腹腔镜手术。腹直肌肌间沟处腹壁皮神经嵌压是腹壁痛的罕见病因。如果在慢性腹痛的早期阶段考虑到腹壁痛,就不需要进行不必要的有创性操作,一旦确诊,患者即可达到无症状状态。在此,我们报告一例超声引导下注射治疗腹皮神经嵌压综合征的成功案例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2283/3710944/47ec8d19733d/kjpain-26-291-g001.jpg

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