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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.

DOI:10.7759/cureus.72705
PMID:39478768
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11524167/
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
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9408/11524167/5fec0f9fcd3d/cureus-0016-00000072705-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9408/11524167/5fec0f9fcd3d/cureus-0016-00000072705-i01.jpg

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本文引用的文献

1
Unilateral Sacral Erector Spinae Plane Block: Additional Experience.单侧骶棘肌平面阻滞:更多经验
A A Pract. 2024 Jun 24;18(6):e01806. doi: 10.1213/XAA.0000000000001806. eCollection 2024 Jun 1.
2
Comparison of the median and intermediate approaches to the ultrasound-guided sacral erector spinae plane block: a cadaveric and radiologic study.超声引导骶棘肌平面阻滞中、间入路的比较:尸体和影像学研究。
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The effect of erector spinae plane block on fentanyl consumption during open abdominal hysterectomy: a randomised controlled study.
竖脊肌平面阻滞对开腹子宫切除术芬太尼用量的影响:一项随机对照研究。
BMC Anesthesiol. 2023 Jun 5;23(1):194. doi: 10.1186/s12871-023-02156-3.
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Deciphering the Mechanism of Continuous Sacral Erector Spinae Block: A Cadaveric Study.解读连续骶棘肌阻滞的机制:一项尸体研究。
Turk J Anaesthesiol Reanim. 2022 Dec;50(6):471-473. doi: 10.5152/TJAR.2022.21294.
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Comparison of the Efficacy of Single-Injection Regional Analgesia Techniques for Total Abdominal Hysterectomy: A Systematic Review and Network Meta-Analysis.单次注射局部镇痛技术在全腹部子宫切除术疗效比较的系统评价和网络荟萃分析。
Pain Physician. 2022 Nov;25(8):543-553.
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Postoperative analgesia efficacy of erector spinae plane block in adult abdominal surgery: A systematic review and meta-analysis of randomized trials.竖脊肌平面阻滞在成人腹部手术中的术后镇痛效果:一项随机试验的系统评价和荟萃分析
Front Med (Lausanne). 2022 Oct 4;9:934866. doi: 10.3389/fmed.2022.934866. eCollection 2022.
7
Randomized Comparative Study Between Bilateral Erector Spinae Plane Block and Transversus Abdominis Plane Block Under Ultrasound Guidance for Postoperative Analgesia After Total Abdominal Hysterectomy.超声引导下双侧竖脊肌平面阻滞与腹横肌平面阻滞用于全腹子宫切除术后镇痛的随机对照研究
Cureus. 2022 May 22;14(5):e25227. doi: 10.7759/cureus.25227. eCollection 2022 May.
8
Bilateral Ultrasound-Guided Erector Spinae Plane Block Versus Transversus Abdominis Plane Block on Postoperative Analgesia after Total Abdominal Hysterectomy.双侧超声引导竖脊肌平面阻滞与腹横肌平面阻滞在全子宫切除术后的术后镇痛效果比较。
Pain Physician. 2020 Jul;23(4):375-382.
9
CARE guidelines for case reports: explanation and elaboration document.病例报告的CARE指南:解释与阐述文件。
J Clin Epidemiol. 2017 Sep;89:218-235. doi: 10.1016/j.jclinepi.2017.04.026. Epub 2017 May 18.
10
Optimal pain management in total abdominal hysterectomy.全子宫切除术的最佳疼痛管理。
Obstet Gynecol Surv. 2013 Mar;68(3):215-27. doi: 10.1097/OGX.0b013e31827f5119.