Department of Anesthesiology, Division of Pain Medicine, Thomas Jefferson University Hospital, 3 Crescent Drive, Philadelphia, PA, 19112, USA.
Curr Pain Headache Rep. 2020 Dec 17;24(12):80. doi: 10.1007/s11916-020-00913-4.
The purpose of this review is to evaluate the current evidence on ultrasound-guided ilioinguinal nerve blocks for ilioinguinal neuralgia post hernia surgery.
A literature search was performed to find all relevant case reports, case series, prospective or retrospective cohort studies, and randomized controlled trials (RCTs) where ultrasound-guided or landmark-based ilioinguinal nerve blocks were used for ilioinguinal neuralgia post-inguinal hernia surgery.
A total of six studies were identified with suitable data for inclusion. Three studies were retrospective, two studies were prospective, and one study was a randomized controlled trial. A total of 133 subjects were enrolled across these studies. Approximately 55-70% had a beneficial analgesic response to treatment. No major complications were reported in these studies. Ultrasound- and landmark-based ilioinguinal nerve blocks are safe and effective for pain relief post inguinal hernia surgery. Although there were two studies that did not show a statically significant difference in both techniques, the ultrasound-guided injection has the advantage of direct visualization of pathology, more accurate needle placement, and decreased risks of intravascular injections.
本综述旨在评估目前关于超声引导下髂腹股沟神经阻滞治疗腹股沟疝术后髂腹股沟神经痛的证据。
进行文献检索，以查找所有相关的病例报告、病例系列、前瞻性或回顾性队列研究以及随机对照试验（RCT），其中使用超声引导或基于标志的髂腹股沟神经阻滞治疗腹股沟疝术后的髂腹股沟神经痛。
共确定了 6 项具有适合纳入数据的研究。其中 3 项为回顾性研究，2 项为前瞻性研究，1 项为随机对照试验。这些研究共纳入了 133 名受试者。大约 55-70%的患者对治疗有有益的镇痛反应。这些研究中均未报告重大并发症。超声和基于标志的髂腹股沟神经阻滞治疗腹股沟疝术后疼痛是安全有效的。尽管有两项研究显示两种技术之间没有统计学上的显著差异，但超声引导注射具有直接可视化病变、更准确的针置放和降低血管内注射风险的优势。
