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Ultrasound guided erector spinae plane block for myofascial pain syndrome.超声引导下竖脊肌平面阻滞治疗肌筋膜疼痛综合征
J Clin Anesth. 2019 Nov;57:121. doi: 10.1016/j.jclinane.2019.04.016. Epub 2019 Apr 14.
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Persistent Post-Mastectomy Pain: Risk Factors and Current Approaches to Treatment.持续性乳房切除术后疼痛：风险因素和当前治疗方法。
J Pain. 2018 Dec;19(12):1367-1383. doi: 10.1016/j.jpain.2018.06.002. Epub 2018 Jun 30.
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Ultrasound Guided Transversus Thoracic Plane block, Parasternal block and fascial planes hydrodissection for internal mammary post thoracotomy pain syndrome.超声引导下经胸横肌平面阻滞、胸骨旁阻滞和筋膜平面水分离治疗胸壁手术后内脏痛综合征。
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Ultrasound-guided pectoral nerves and serratus plane block for post thoracotomy pain syndrome.
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竖脊肌平面阻滞和菱形肌肋间阻滞治疗乳房切除术后疼痛综合征

Erector spinae plane block and rhomboid intercostal block for the treatment of post-mastectomy pain syndrome.

作者信息

Piraccini Emanuele, Calli Morena, Taddei Stefania, Maitan Stefano

机构信息

Anesthesia, Intensive Care Nord and Pain Management Unit, Bellaria Hospital, Bologna, Italy.

Department of Surgery, Anesthesia and Intensive Care Section "G.B. Morgagni-Pierantoni" Hospital, Forlì, Italy.

出版信息

Saudi J Anaesth. 2020 Oct-Dec;14(4):517-519. doi: 10.4103/sja.SJA_203_20. Epub 2020 Sep 24.

DOI:10.4103/sja.SJA_203_20
PMID:33447197
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7796725/
Abstract

Post-mastectomy pain syndrome (PMPS) can have multiple pain generators, including neuropathic pain and myofascial pain syndrome (MPS). Erector spinae plane (ESP) block and rhomboid intercostal block (RIB) have been used to provide anesthesia of the thorax and also for some chronic pain conditions. We describe a 43-year-old man suffering from right PMPS after right mastectomy, full axillary, and mammary lymph node dissection. We treated her with ESP blocks and RIB to reduce neuralgia and MPS: Neuropathic pain disappeared and the patient experienced only slight residual pain. The result was maintained 3 months later. This report suggests that ESP block and RIB with local anesthetic and corticosteroids with might be useful to treat a PMPS.

摘要

乳房切除术后疼痛综合征（PMPS）可能有多种疼痛产生源，包括神经性疼痛和肌筋膜疼痛综合征（MPS）。竖脊肌平面（ESP）阻滞和菱形肌肋间阻滞（RIB）已被用于提供胸部麻醉以及一些慢性疼痛病症的治疗。我们描述了一名43岁男性，在右乳房切除、全腋窝及乳腺淋巴结清扫术后患有右侧PMPS。我们用ESP阻滞和RIB对其进行治疗以减轻神经痛和MPS：神经性疼痛消失，患者仅经历轻微的残留疼痛。3个月后结果得以维持。本报告表明，使用局部麻醉药和皮质类固醇的ESP阻滞和RIB可能有助于治疗PMPS。