超声引导下腹直肌鞘阻滞治疗腹腔镜术后前皮神经卡压综合征：一例报告
Ultrasound-guided rectus sheath block for anterior cutaneous nerve entrapment syndrome after laparoscopic surgery: A case report.
作者信息
Sawada Ryuji, Watanabe Kunitaro, Tokumine Joho, Lefor Alan Kawarai, Ando Tadao, Yorozu Tomoko
机构信息
Department of Pain Clinic, NTT Medical Center Tokyo, Higashigotanda 141-8625, Tokyo, Japan.
Department of Anesthesiology, Hino Municipal Hospital, Tamadaira 191-0062, Tokyo, Japan.
出版信息
World J Clin Cases. 2022 Mar 6;10(7):2357-2362. doi: 10.12998/wjcc.v10.i7.2357.
BACKGROUND
Anterior cutaneous nerve entrapment syndrome is defined as abdominal pain due to entrapped intercostal nerves. This is the first report of a patient successfully treated for anterior cutaneous nerve entrapment syndrome after laparoscopic surgery with an ultrasound-guided rectus sheath block. The rectus sheath block physically lysed adhesions and relieved pain from anterior cutaneous nerve entrapment syndrome.
CASE SUMMARY
The patient is a 44-year-old man who presented with severe left upper abdominal pain at an operative scar one month after laparoscopic ulcer repair. Diagnosis and treatment were performed using an ultrasound-guided rectus sheath block with 0.1% lidocaine 20 mL. The pain was relieved after the block. The diagnosis was anterior cutaneous nerve entrapment syndrome. Rectus sheath block may be effective for patients with anterior cutaneous nerve entrapment syndrome.
CONCLUSION
Ultrasound-guided rectus sheath block is a promising treatment modality for patients with postoperative anterior cutaneous nerve entrapment syndrome due to adhesions.
背景
前皮神经卡压综合征定义为因肋间神经受压引起的腹痛。这是首例经腹腔镜手术后采用超声引导下腹直肌鞘阻滞成功治疗前皮神经卡压综合征的病例报告。腹直肌鞘阻滞通过物理方式松解粘连并缓解了前皮神经卡压综合征引起的疼痛。
病例摘要
患者为一名44岁男性，在腹腔镜溃疡修补术后1个月，手术瘢痕处出现严重左上腹疼痛。采用超声引导下向腹直肌鞘注射20 mL 0.1%利多卡因进行诊断和治疗。注射后疼痛缓解。诊断为前皮神经卡压综合征。腹直肌鞘阻滞可能对前皮神经卡压综合征患者有效。
结论
超声引导下腹直肌鞘阻滞对于因粘连导致术后前皮神经卡压综合征的患者是一种有前景的治疗方式。
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