Hiraoka Chieko, Miyazaki Naoki, Hara Marie, Yuruki Tomoko, Komatsu Shuji, Furusho Chiyo, Taki Kenichiro
Masui. 2017 Jan;66(1):76-78.
The pain of skin graft site after surgery is compara- tively severe. We present three cases of combined of ultrasound-guided femoral nerve block and lateral fem- oral cutaneous nerve block that was effective for har- vesting skin grafts. Case 1 : a 32-year-old man had a split-thickness skin grafting of lateral upper arm harvested from outside of the thigh under general anesthesia, brachial nerve block, femoral nerve block and lateral femoral cutane- ous nerve block. Case 2 : a 39-year-old man had split-thickness skin grafting of lower thigh harvested from outside of the thigh under general anesthesia, femoral nerve block and lateral femoral cutaneous nerve block. Case 3 : a 94-year-old man had split-thickness skin grafting of acrotarsium harvested from outside of the thigh under spinal anesthesia, femoral nerve block, lat- eral femoral cutaneous nerve block and sciatic nerve block. In all cases, there was no pain just after surgery, and postoperative pain was controlled well through the hospitalization with administration of oral analgesic agents.
手术后皮肤移植部位的疼痛相对较重。我们介绍三例超声引导下股神经阻滞联合股外侧皮神经阻滞用于取皮移植术且效果良好的病例。病例1：一名32岁男性在全身麻醉、臂丛神经阻滞、股神经阻滞和股外侧皮神经阻滞下，从大腿外侧取皮进行上臂外侧的中厚皮片移植。病例2：一名39岁男性在全身麻醉、股神经阻滞和股外侧皮神经阻滞下，从大腿外侧取皮进行大腿下部的中厚皮片移植。病例3：一名94岁男性在腰麻、股神经阻滞、股外侧皮神经阻滞和坐骨神经阻滞下，从大腿外侧取皮进行足背的中厚皮片移植。所有病例术后即刻均无疼痛，术后通过口服镇痛药，整个住院期间疼痛得到良好控制。
