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肩胛背神经水分离术治疗根治性颈清扫及放疗后神经病变：1例报告

Hydro-dissection of Dorsal Scapular Nerve for Neuropathy Post Radical Neck Dissection and Radiation: A Case Report.

作者信息

Murugesan Anand, Raghuraman M S, Chilukuri Srinivas, Raja Thirumalai

机构信息

Department of Anaesthesia and Pain Management, Apollo Proton Cancer Centre, Chennai, Tamil Nadu, India.

Department of Anesthesiology and Pain medicine, Sree Balaji Medical College and Hospital, Chennai, Tamil Nadu, India.

出版信息

Indian J Palliat Care. 2021 Oct-Dec;27(4):577-579. doi: 10.25259/IJPC_114_21. Epub 2021 Oct 22.

DOI:10.25259/IJPC_114_21
PMID:34898955
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8655671/
Abstract

Neuropathy of dorsal scapular nerve (DSN) following neck dissections or radiotherapy has not been reported so far nor has its treatment in the form of hydro-dissection. Hydro-dissection of nerve under ultrasound guidance has been receiving more attention in the recent past and it is a minimally invasive procedure. We report here a case of neuropathy of DSN following radiotherapy in a patient for whom we could at least provide pain relief as a palliative measure during his last 6 months of life.

摘要

迄今为止，尚未有颈部解剖或放疗后肩胛背神经（DSN）神经病变的相关报道，也没有关于其水分离治疗形式的报道。近年来，超声引导下的神经水分离术受到了更多关注，这是一种微创手术。我们在此报告一例放疗后DSN神经病变的病例，在该患者生命的最后6个月里，我们至少能够通过姑息治疗措施缓解其疼痛。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bce7/8655671/57de9f6ebfcd/IJPC-27-577-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bce7/8655671/57de9f6ebfcd/IJPC-27-577-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bce7/8655671/57de9f6ebfcd/IJPC-27-577-g001.jpg

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本文引用的文献

1
Radiation-induced neuropathies in head and neck cancer: prevention and treatment modalities.头颈部癌放疗所致神经病变：预防与治疗方式
Ecancermedicalscience. 2020 Nov 3;14:1133. doi: 10.3332/ecancer.2020.1133. eCollection 2020.
2
Ultrasound-Guided Nerve Hydrodissection for Pain Management: Rationale, Methods, Current Literature, and Theoretical Mechanisms.超声引导下神经水分离术用于疼痛管理：原理、方法、当前文献及理论机制
J Pain Res. 2020 Aug 4;13:1957-1968. doi: 10.2147/JPR.S247208. eCollection 2020.
3
The prevalence of nerve injuries following neck dissections - a systematic review and meta-analysis.
颈部解剖后神经损伤的发生率：系统评价和荟萃分析。
Dan Med J. 2020 Aug 1;67(8):A08190464.
4
Transition from Deep Regional Blocks toward Deep Nerve Hydrodissection in the Upper Body and Torso: Method Description and Results from a Retrospective Chart Review of the Analgesic Effect of 5% Dextrose Water as the Primary Hydrodissection Injectate to Enhance Safety.从深部区域性阻滞到上半身和躯干的深部神经水分离：一种方法描述以及回顾性图表分析结果，评估 5%葡萄糖水作为主要水分离注射剂增强安全性的镇痛效果。
Biomed Res Int. 2017;2017:7920438. doi: 10.1155/2017/7920438. Epub 2017 Oct 1.
5
Dorsal scapular nerve neuropathy: a narrative review of the literature.肩胛背神经神经病：文献综述
J Can Chiropr Assoc. 2017 Aug;61(2):128-144.