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肩胛提肌平面阻滞（LeSP阻滞）的解剖标志和操作技术：病例报告：超声引导下对肩胛提肌浅层、深层和远端平面进行阻滞以治疗肩胛带肌筋膜疼痛。

Anatomical landmarks and procedure technique of Levator Scapulae Plane Block (LeSP block): Case report: Ultrasound-guided block of the superficial, deep and distal planes of the levator scapulae muscle for treatment of shoulder girdle myofascial pain.

作者信息

Rached Roberto Del Valhe Abi, Iuamoto Leandro Ryuchi, Kim Angela Hyun Ji, Sikusawa Guilherme Yuiti, Souza Fernanda Mayume, Hsing Wu Tu

机构信息

Institute of Physical Medicine and Rehabilitation, Hospital das Clínicas, University of Sao Paulo School of Medicine, Sao Paulo, Brazil.

Center of Acupuncture, Department of Orthopaedics and Traumatology, University of Sao Paulo School of Medicine, Sao Paulo, Brazil.

出版信息

Radiol Case Rep. 2024 Sep 26;19(12):6502-6508. doi: 10.1016/j.radcr.2024.09.050. eCollection 2024 Dec.

DOI:10.1016/j.radcr.2024.09.050
PMID:39380804
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11460627/
Abstract

Neck pain is a prevalent issue associated with musculoskeletal disorders. This study describes the interfascial Levator Scapulae Plane Block (LeSP Block) technique, using ultrasound guidance for local anesthetic administration to treat chronic neck pain. Two patients, 1 77-year-old female and 1 50-year-old female, underwent the LeSP Block. Immediate postprocedure pain relief was achieved in both, with 1 patient experiencing complete pain remission (VAS = 0) and the other showing significant improvement (VAS = 2) after 30 days. The LeSP Block demonstrated effectiveness and ease of use, suggesting its inclusion in pain management strategies for shoulder girdle and scapular pain. Further anatomical studies aimed at improving the anatomical description of the accessory spinal nerve are recommended to refine the technique.

摘要

颈部疼痛是与肌肉骨骼疾病相关的常见问题。本研究描述了筋膜间肩胛提肌平面阻滞（LeSP阻滞）技术，该技术使用超声引导进行局部麻醉给药以治疗慢性颈部疼痛。两名患者，一名77岁女性和一名50岁女性，接受了LeSP阻滞。两人术后均立即实现了疼痛缓解，其中1例患者疼痛完全缓解（视觉模拟评分法[VAS]=0），另一例在30天后有显著改善（VAS=2）。LeSP阻滞显示出有效性和易用性，表明其可纳入肩带和肩胛疼痛的疼痛管理策略。建议进行进一步的解剖学研究，以改进对副脊神经的解剖学描述，从而完善该技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea6b/11460627/94f69f323115/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea6b/11460627/ba28484c4385/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea6b/11460627/a611f8111b9d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea6b/11460627/bf6085c0ca62/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea6b/11460627/d2ab5593fa3d/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea6b/11460627/65a87969620a/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea6b/11460627/94f69f323115/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea6b/11460627/ba28484c4385/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea6b/11460627/a611f8111b9d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea6b/11460627/bf6085c0ca62/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea6b/11460627/d2ab5593fa3d/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea6b/11460627/65a87969620a/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea6b/11460627/94f69f323115/gr6.jpg

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本文引用的文献

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