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竖脊肌平面阻滞治疗腰椎手术失败综合征所致下腰痛：一例报告

Erector spinae plane block for low back pain in failed back surgery syndrome: a case report.

作者信息

Takahashi Hidemasa, Suzuki Takeo

机构信息

Department of Anesthesiology, Tokyo Metropolitan Bokutoh Hospital, 4-23-15, Koto-bashi, Sumida-ku, Tokyo, 130-8575, Japan.

出版信息

JA Clin Rep. 2018 Aug 27;4(1):60. doi: 10.1186/s40981-018-0198-6.

DOI:10.1186/s40981-018-0198-6
PMID:32026979
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6966727/
Abstract

BACKGROUND

Patients with failed back surgery syndrome (FBSS) experience chronic back pain following spinal surgery, and effective treatment is difficult because of multiple contributing factors.

CASE PRESENTATION

Here we report a case involving a 72-year-old woman who experienced recurrent low back pain after undergoing two back surgeries. She was treated with erector spinae plane (ESP) block, which affected the dorsal rami of the spinal nerves from T12 to L5. Pain relief lasted for approximately 10 h after the initial block, and successful low back pain relief was achieved after a total of three trials.

CONCLUSIONS

ESP block, which is an easy and safe procedure, can be used to treat FBSS-associated low back pain.

摘要

背景

腰椎手术失败综合征（FBSS）患者在脊柱手术后会经历慢性背痛，由于多种因素共同作用，有效治疗困难。

病例报告

在此我们报告一例，一名72岁女性在接受两次背部手术后出现复发性下腰痛。她接受了竖脊肌平面（ESP）阻滞治疗，该阻滞影响了从T12至L5的脊神经背支。首次阻滞后疼痛缓解持续约10小时，总共进行三次尝试后成功缓解了下腰痛。

结论

ESP阻滞是一种简单且安全的操作，可用于治疗与FBSS相关的下腰痛。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8313/6966727/3bbc655f7152/40981_2018_198_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8313/6966727/332126789cd7/40981_2018_198_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8313/6966727/3bbc655f7152/40981_2018_198_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8313/6966727/332126789cd7/40981_2018_198_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8313/6966727/3bbc655f7152/40981_2018_198_Fig2_HTML.jpg

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