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用于腹部子宫切除术的腰骶竖脊肌平面阻滞:一例报告

The Lumbosacral Erector Spinae Plane Block for Abdominal Hysterectomy: A Case Report.

作者信息

Marrone Francesco, Sorrentino Tommaso, Fusco Pierfrancesco, Monte Maria Eleonora, Paventi Saverio, Tomei Marco, Fattorini Fabrizio, Pullano Carmine

机构信息

Anesthesia, Santo Spirito Hospital, Rome, ITA.

Faculty of Medicine, Cattolic University Rome, Rome, ITA.

出版信息

Cureus. 2024 Oct 30;16(10):e72705. doi: 10.7759/cureus.72705. eCollection 2024 Oct.

Abstract

After major abdominal surgery and open hysterectomy, postoperative pain management is often challenging. Various abdominal fascial and truncal blocks, including paravertebral, erector spinae plane, transversus abdominis plane, and quadratus lumborum blocks, have been evaluated for their efficacy. When used in a multimodal pain control strategy, after an open abdominal hysterectomy under spinal anesthesia, the novel sacral erector spinae plane block showed promising results in terms of safety, efficacy, and minimal invasiveness.

摘要

在进行大型腹部手术和开放性子宫切除术后,术后疼痛管理通常具有挑战性。人们已经评估了各种腹部筋膜和躯干阻滞,包括椎旁阻滞、竖脊肌平面阻滞、腹横肌平面阻滞和腰方肌阻滞的疗效。在脊髓麻醉下进行开放性腹部子宫切除术后,当将新型骶部竖脊肌平面阻滞用于多模式疼痛控制策略时,在安全性、有效性和微创性方面显示出了令人满意的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9408/11524167/5fec0f9fcd3d/cureus-0016-00000072705-i01.jpg

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