Huang Junjian, Delijani Kevin, El Khudari Husamuddin, Gunn Andrew J
Department of Radiology, University of Alabama at Birmingham, Birmingham, Alabama.
Georgetown University School of Medicine, Washington, District of Columbia.
Semin Intervent Radiol. 2022 Jun 30;39(2):167-171. doi: 10.1055/s-0042-1745763. eCollection 2022 Apr.
Chest wall pain affects many patients following chest surgery, fractures, or malignancies, and can be very difficult to manage with normal pharmacologic agents. Intercostal ablation provides one alternative treatment modality for patients suffering from intercostal pain. Intercostal cryoneurolysis involves using extreme cold to cause Wallerian degeneration of the targeted intercostal nerve. This article reviews the patient selection, technique, and complications in the utilization of intercostal neurolysis in the treatment of intractable chest pain.
胸壁疼痛在胸部手术、骨折或恶性肿瘤后影响许多患者,并且使用常规药物治疗可能非常困难。肋间神经毁损术为患有肋间神经痛的患者提供了一种替代治疗方式。肋间冷冻神经溶解术是利用极寒导致目标肋间神经发生华勒氏变性。本文综述了肋间神经溶解术治疗顽固性胸痛的患者选择、技术及并发症。