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肋间冷冻神经消融术

Intercostal Cryoneurolysis.

作者信息

Huang Junjian, Delijani Kevin, El Khudari Husamuddin, Gunn Andrew J

机构信息

Department of Radiology, University of Alabama at Birmingham, Birmingham, Alabama.

Georgetown University School of Medicine, Washington, District of Columbia.

出版信息

Semin Intervent Radiol. 2022 Jun 30;39(2):167-171. doi: 10.1055/s-0042-1745763. eCollection 2022 Apr.

DOI:10.1055/s-0042-1745763
PMID:35781990
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9246488/
Abstract

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.

摘要

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。

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本文引用的文献

1
Efficacy of intercostal cryoneurolysis as an analgesic adjunct for chest wall pain after surgery or trauma: systematic review.肋间冷冻神经lysis作为手术或创伤后胸壁疼痛镇痛辅助手段的疗效:系统评价
Trauma Surg Acute Care Open. 2021 May 18;6(1):e000690. doi: 10.1136/tsaco-2021-000690. eCollection 2021.
2
Cryoneurolysis in Patients with Dorsal Neuropathic Pain Secondary to Tumor Invasion.肿瘤侵犯导致的背侧神经性疼痛患者的冷冻神经松解术。
J Vasc Interv Radiol. 2020 Jun;31(6):917-924. doi: 10.1016/j.jvir.2020.01.018. Epub 2020 May 4.
3
CT-guided cryoablation for post-thoracotomy pain syndrome: a retrospective analysis.CT 引导下冷冻消融治疗开胸术后疼痛综合征:回顾性分析。
Diagn Interv Radiol. 2020 Jan;26(1):53-57. doi: 10.5152/dir.2019.19179.
4
Postoperative pain control modalities for pectus excavatum repair: A prospective observational study of cryoablation compared to results of a randomized trial of epidural vs patient-controlled analgesia.鸡胸矫正术后疼痛控制方式:冷冻消融与硬膜外镇痛与患者自控镇痛随机对照试验结果的前瞻性观察研究。
J Pediatr Surg. 2020 Aug;55(8):1444-1447. doi: 10.1016/j.jpedsurg.2019.09.021. Epub 2019 Oct 26.
5
Ultrasound-guided percutaneous intercostal nerve cryoneurolysis for analgesia following traumatic rib fracture -a case series.超声引导经皮肋间神经冷冻消融治疗创伤性肋骨骨折后疼痛-病例系列。
Korean J Anesthesiol. 2020 Oct;73(5):455-459. doi: 10.4097/kja.19395. Epub 2019 Nov 5.
6
Intraoperative intercostal nerve cryoablation During the Nuss procedure reduces length of stay and opioid requirement: A randomized clinical trial.胸腔镜辅助下 Nuss 手术中肋间神经冷冻消融术可减少住院时间和阿片类药物需求:一项随机临床试验。
J Pediatr Surg. 2019 Nov;54(11):2250-2256. doi: 10.1016/j.jpedsurg.2019.02.057. Epub 2019 Mar 17.
7
Comparing outcomes with thoracic epidural and intercostal nerve cryoablation after Nuss procedure.比较Nuss手术后胸段硬膜外和肋间神经冷冻消融的效果。
J Surg Res. 2018 Nov;231:217-223. doi: 10.1016/j.jss.2018.05.048. Epub 2018 Jun 21.
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Radiofrequency Ablation for Treating Resistant Intercostal Neuralgia.射频消融术治疗难治性肋间神经痛
Ochsner J. 2018 Spring;18(1):91-93.
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Percutaneous Image-Guided Cryoneurolysis.经皮影像引导下的冷冻神经松解术。
AJR Am J Roentgenol. 2018 Feb;210(2):454-465. doi: 10.2214/AJR.17.18452. Epub 2017 Dec 8.
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Intercostal nerve cryoablation versus thoracic epidural catheters for postoperative analgesia following pectus excavatum repair: Preliminary outcomes in twenty-six cryoablation patients.漏斗胸修复术后肋间神经冷冻消融与胸段硬膜外导管用于术后镇痛:26例冷冻消融患者的初步结果
J Pediatr Surg. 2016 Dec;51(12):2033-2038. doi: 10.1016/j.jpedsurg.2016.09.034. Epub 2016 Sep 28.