Pechetov A A, Lednev A N, Makov M A, Chlan T N
A.V. Vishnevsky National Medical Research Center of Surgery, Moscow, Russia.
Khirurgiia (Mosk). 2021(5):14-19. doi: 10.17116/hirurgia202105114.
To evaluate an effectiveness of cryoanalgesia in older patients with pectus excavatum and to determine feasibility of further research.
We have developed an original technique of intercostal nerve cryoablation for correction of pectus excavatum in adults. The results of intercostal nerve cryoablation during correction of pectus excavatum in 10 older patients were analyzed.
Postoperative outcomes were followed-up over a period of 4 - 12 months. There were no perioperative surgical complications. In 1 case, moderate pain syndrome persisted for 3 months after surgery (mean VAS score 2±1.3). In 9 months, mean VAS score was 0.6±0.6 in a month after surgery.
Intercostal nerve cryoablation in correction of pectus excavatum in adults may be an alternative to the current methods of regional analgesia. Further research is requried to achieve objective information.
评估冷冻镇痛法对老年漏斗胸患者的有效性，并确定进一步研究的可行性。
我们开发了一种用于矫正成人漏斗胸的肋间神经冷冻消融新技术。分析了10例老年患者在漏斗胸矫正术中进行肋间神经冷冻消融的结果。
术后随访4至12个月。无围手术期手术并发症。1例患者术后中度疼痛综合征持续3个月（平均视觉模拟评分2±1.3）。术后9个月，术后1个月的平均视觉模拟评分为0.6±0.6。
成人漏斗胸矫正术中肋间神经冷冻消融可能是目前区域镇痛方法的一种替代方法。需要进一步研究以获取客观信息。
