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超声引导下改良根治性乳腺癌手术中后锯肌上肋间平面阻滞:病例系列研究。

Ultrasound-Guided Serratus Posterior Superior Intercostal Plane Block in Modified Radical Mastectomy Surgeries: A Case Series.

机构信息

From the Department of Anesthesiology and Reanimation, Sivas Zara State Hospital, Sivas, Turkey.

Department of Anesthesiology and Reanimation, Cumhuriyet University School of Medicine, Sivas, Turkey.

出版信息

A A Pract. 2024 Jul 29;18(8):e01830. doi: 10.1213/XAA.0000000000001830. eCollection 2024 Aug 1.

DOI:10.1213/XAA.0000000000001830
PMID:39072536
Abstract

Effective pain management is crucial for modified radical mastectomy (MRM) surgeries. The Serratus Posterior Superior Intercostal Plane Block (SPSIPB), introduced in 2023, shows promise for postoperative analgesia. This study was designed to demonstrate the analgesic efficacy of the SPSIPB in MRM surgeries. SPSIPB was administered to 7 patients who underwent MRM for postoperative analgesia. NRS scores of patients were ≤4 and total tramadol consumption was 0 mg in 3 of 7 patients. In conclusion, SPSIPB appears to be an effective, safe, and easily applicable option for analgesia.

摘要

有效的疼痛管理对于改良根治性乳房切除术(MRM)至关重要。2023 年引入的肩胛旁上肋间平面阻滞(SPSIPB)显示出对术后镇痛的潜力。本研究旨在证明 SPSIPB 在 MRM 手术中的镇痛效果。对 7 例接受 MRM 的患者进行 SPSIPB 以进行术后镇痛。7 例患者中有 3 例的 NRS 评分≤4,总曲马多消耗量为 0mg。总之,SPSIPB 似乎是一种有效、安全且易于应用的镇痛选择。

相似文献

1
Ultrasound-Guided Serratus Posterior Superior Intercostal Plane Block in Modified Radical Mastectomy Surgeries: A Case Series.超声引导下改良根治性乳腺癌手术中后锯肌上肋间平面阻滞:病例系列研究。
A A Pract. 2024 Jul 29;18(8):e01830. doi: 10.1213/XAA.0000000000001830. eCollection 2024 Aug 1.
2
Ultrasound-Guided Pectoral Nerve Block I and Serratus-Intercostal Plane Block Alleviate Postoperative Pain in Patients Undergoing Modified Radical Mastectomy.超声引导胸肌神经阻滞Ⅰ和锯状肌肋间平面阻滞减轻改良根治性乳房切除术患者的术后疼痛。
Pain Physician. 2019 Jul;22(4):E315-E323.
3
Comparison of rhomboid intercostal nerve block, erector spinae plane block and serratus plane block on analgesia for modified radical mastectomy: A prospective randomised controlled trial.菱形肋间神经阻滞、竖脊肌平面阻滞和锯肌平面阻滞在改良根治性乳房切除术镇痛中的比较:一项前瞻性随机对照试验。
Int J Clin Pract. 2021 Oct;75(10):e14539. doi: 10.1111/ijcp.14539. Epub 2021 Jul 2.
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Continuous serratus posterior superior intercostal plane block for postoperative analgesia management in the patient who underwent right atrial mass excision: a case report.连续上后锯肌肋间神经阻滞在右房肿块切除术后镇痛管理中的应用:病例报告。
BMC Anesthesiol. 2024 Apr 25;24(1):159. doi: 10.1186/s12871-024-02535-4.
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The Analgesic Efficacy of Pecto-Intercostal Fascial Block Combined with Pectoral Nerve Block in Modified Radical Mastectomy: A Prospective Randomized Trial.改良根治性乳腺癌手术中胸肌间沟筋膜平面阻滞联合肋间臂神经阻滞的镇痛效果:一项前瞻性随机试验。
Pain Physician. 2020 Sep;23(5):485-493.
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Anesthetic effect of ultrasound-guided multiple-nerve blockade in modified radical mastectomy in patients with breast cancer.超声引导下多神经阻滞在乳腺癌改良根治术中的麻醉效果。
Medicine (Baltimore). 2021 Feb 19;100(7):e24786. doi: 10.1097/MD.0000000000024786.
7
Comparison of the effects of modified pectoral nerve block and erector spinae plane block on postoperative opioid consumption and pain scores of patients after radical mastectomy surgery: A prospective, randomized, controlled trial.改良胸大肌神经阻滞与竖脊肌平面阻滞对乳腺癌根治术后患者阿片类药物消耗和疼痛评分影响的比较:一项前瞻性、随机、对照试验。
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Evaluation of ultrasound-guided rhomboid intercostal nerve block for postoperative analgesia in breast cancer surgery: a prospective, randomized controlled trial.超声引导下菱形肋间神经阻滞在乳腺癌手术术后镇痛中的评价:一项前瞻性、随机对照试验。
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Comparing the quality of analgesia with ultrasound-guided pectoral nerve block and serratus anterior plane block II in patients undergoing modified radical mastectomy: a randomised clinical trial.比较超声引导下胸肌神经阻滞和第二前锯肌平面阻滞在改良根治性乳腺癌手术中的镇痛效果:一项随机临床试验。
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Efficacy of serratus posterior superior intercostal plane block (SPSIPB) on post-operative pain and total analgesic consumption in patients undergoing video-assisted thoracoscopic surgery (VATS): A double-blinded randomised controlled trial.后上锯肌肋间平面阻滞(SPSIPB)对电视辅助胸腔镜手术(VATS)患者术后疼痛及总镇痛药物消耗量的疗效:一项双盲随机对照试验。
Indian J Anaesth. 2023 Dec;67(12):1116-1122. doi: 10.4103/ija.ija_589_23. Epub 2023 Dec 13.

引用本文的文献

1
Effects of serratus posterior superior intercostal plane block on postoperative analgesia in patients undergoing breast cancer surgery: a randomized controlled trial.后锯肌上肋间平面阻滞对乳腺癌手术患者术后镇痛的影响:一项随机对照试验。
BMC Anesthesiol. 2025 Apr 24;25(1):209. doi: 10.1186/s12871-025-03092-0.