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本文引用的文献

1
Pain after breast surgery: a survey of 282 women.乳房手术后的疼痛：对282名女性的调查
Pain. 1996 Aug;66(2-3):195-205. doi: 10.1016/0304-3959(96)03064-3.

脂质体布比卡因胸内侧神经和胸外侧神经阻滞用于肌下隆乳术后疼痛的管理

Medial and lateral pectoral nerve block with liposomal bupivacaine for the management of postsurgical pain after submuscular breast augmentation.

作者信息

Leiman David, Barlow Mark, Carpin Kimberly, Piña Edward M, Casso Daniel

机构信息

Houston Methodist St. John Hospital, Nassau Bay, Tex.

出版信息

Plast Reconstr Surg Glob Open. 2015 Jan 8;2(12):e282. doi: 10.1097/GOX.0000000000000253. eCollection 2014 Dec.

DOI:10.1097/GOX.0000000000000253
PMID:25587516
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4292264/
Abstract

This report describes an ultrasound-guided medial and lateral pectoralis nerve block using liposome bupivacaine, performed before the surgical incision, in a patient undergoing submuscular breast augmentation. The anatomic basis and technique are described. This procedure may be offered to patients undergoing submuscular insertion of a breast implant or tissue expander. Advancements in ultrasound guidance allow for more precise anatomic placement of local anesthetic agents. The injection technique used for this procedure resulted in complete relaxation of the pectoralis major, facilitating the surgical dissection and markedly diminishing postsurgical pain and muscle spasms.

摘要

本报告描述了在一名接受胸大肌下隆乳术的患者中，于手术切口前使用脂质体布比卡因进行超声引导下胸内侧和外侧神经阻滞的情况。文中描述了解剖学基础和技术。该方法可用于接受胸大肌下乳房植入物或组织扩张器植入的患者。超声引导技术的进步使局部麻醉剂的解剖定位更加精确。该操作所采用的注射技术使胸大肌完全松弛，便于手术解剖，并显著减轻术后疼痛和肌肉痉挛。