Xu Hui, Ma Lu-Lu
Department of Anesthesiology,PUMC Hospital,CAMS and PUMC,Beijing 100730,China.
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2024 Aug;46(4):560-564. doi: 10.3881/j.issn.1000-503X.15723.
Spine surgery may lead to moderate to severe pain.Poorly controlled postoperative pain seriously affects the prognosis and recovery of patients.The erector spinae plane block (ESPB),firstly proposed in 2016 as a novel interfascial plane block,has been widely used in the management of intraoperative and postoperative pain in spine surgery.It has been confirmed as a safe,simple,and effective block.This review describes the anatomic basis,mechanism,and methods of ESPB,summarizes the clinical application of ESPB in spine surgery,and makes an outlook on the potential role of ESPB as a part in the multimodal management of postoperative pain in spine surgery.
脊柱手术可能导致中度至重度疼痛。术后疼痛控制不佳会严重影响患者的预后和康复。竖脊肌平面阻滞（ESPB）于2016年首次被提出，作为一种新型的筋膜间平面阻滞，已广泛应用于脊柱手术的术中及术后疼痛管理。它已被证实是一种安全、简单且有效的阻滞方法。本文综述了ESPB的解剖学基础、机制和方法，总结了ESPB在脊柱手术中的临床应用，并对ESPB作为脊柱手术后疼痛多模式管理一部分的潜在作用进行了展望。
