Scheltinga M R, Roumen R M
Department of Surgery, Máxima Medical Center, De Run 4600, P.O. Box 7777, 5500 MB, Eindhoven/Veldhoven, The Netherlands.
SolviMáx Department, Center of Expertise for ACNES, Center of Excellence for Chronic Abdominal Wall and Groin Pain, Eindhoven/Veldhoven, The Netherlands.
Hernia. 2018 Jun;22(3):507-516. doi: 10.1007/s10029-017-1710-z. Epub 2017 Dec 21.
The abdominal wall is frequently overlooked as a potential source of chronic abdominal pain. In anterior cutaneous nerve entrapment syndrome (ACNES), irritated intercostal nerves cause severe abdominal pain. Current textbooks fail to acknowledge ACNES. Aim of the present review is to provide detailed information on patient history, physical examination, and a three-step treatment protocol including abdominal wall injections and a localized removal of terminal branches of intercostal nerves.
腹壁常被忽视，未被视为慢性腹痛的潜在来源。在前皮神经卡压综合征（ACNES）中，受刺激的肋间神经会导致严重的腹痛。当前的教科书未承认ACNES。本综述的目的是提供有关患者病史、体格检查以及包括腹壁注射和肋间神经终末分支局部切除的三步治疗方案的详细信息。
