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肋间冷冻消融微创二尖瓣修复术：一例报告

Minimally Invasive Mitral Valve Repair with Intercostal Cryoablation: A Case Report.

作者信息

Humpfle Luisa, Böning Andreas, Niemann Bernd

机构信息

Department of Adult and Pediatric Cardiac and Vascular Surgery, University Hospital Giessen and Marburg Campus Giessen, Giessen, Hessen, Germany.

Department of Cardiovascular Surgery, University Hospital Giessen, Giessen, Germany.

出版信息

Thorac Cardiovasc Surg Rep. 2024 Dec 24;13(1):e40-e42. doi: 10.1055/s-0044-1800969. eCollection 2024 Jan.

DOI:10.1055/s-0044-1800969
PMID:39720599
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11668554/
Abstract

Minimally invasive lateral thoracotomies may cause severe postoperative pain and discomfort. We describe an intraoperative intercostal cryo-neuronal pain block as one possibility for postoperative pain relief.  A 63-year-old male patient underwent minimally invasive mitral valve repair. To reduce postoperative pain, an intercostal cryo-neuronal ablation was performed. The consecutive course was pain-free.  Intraoperative cryo-neuronal nerve block may be a standard procedure during minimally invasive cardiac surgery.

摘要

微创侧胸壁切开术可能会导致严重的术后疼痛和不适。我们描述了一种术中肋间冷冻神经痛阻滞术，作为缓解术后疼痛的一种可能方法。一名63岁男性患者接受了微创二尖瓣修复术。为减轻术后疼痛，实施了肋间冷冻神经消融术。术后恢复过程无痛。术中冷冻神经阻滞术可能成为微创心脏手术中的一项标准操作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96d5/11668554/ff5fd79657d4/10-1055-s-0044-1800969-i0620240499crc-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96d5/11668554/ede43b9949ac/10-1055-s-0044-1800969-i0620240499crc-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96d5/11668554/3e02858529fc/10-1055-s-0044-1800969-i0620240499crc-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96d5/11668554/ff5fd79657d4/10-1055-s-0044-1800969-i0620240499crc-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96d5/11668554/ede43b9949ac/10-1055-s-0044-1800969-i0620240499crc-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96d5/11668554/3e02858529fc/10-1055-s-0044-1800969-i0620240499crc-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96d5/11668554/ff5fd79657d4/10-1055-s-0044-1800969-i0620240499crc-3.jpg

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本文引用的文献

1
Cryoablation in lung transplantation: Its impact on pain, opioid use, and outcomes.肺移植中的冷冻消融术：其对疼痛、阿片类药物使用及预后的影响。
JTCVS Open. 2022 Nov 25;13:444-456. doi: 10.1016/j.xjon.2022.11.005. eCollection 2023 Mar.
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Case Report of Cryo Nerve Block in a Patient Undergoing Full Sternotomy: A Novel Approach to Pain Control in Cardiac Surgery.全胸骨切开术后行冷冻神经阻滞的病例报告：心脏手术中疼痛控制的新方法。
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Intercostal Cryo Nerve Block in Minimally Invasive Cardiac Surgery: The Prospective Randomized FROST Trial.
微创心脏手术中的肋间冷冻神经阻滞：前瞻性随机FROST试验
Pain Ther. 2021 Dec;10(2):1579-1592. doi: 10.1007/s40122-021-00318-0. Epub 2021 Sep 20.
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Persistent Pain After Cardiac Surgery: Prevention and Management.心脏手术后持续性疼痛：预防与管理。
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Cryoanalgesia for postsurgical pain relief in adults: A systematic review and meta-analysis.成人术后疼痛缓解的冷冻镇痛：一项系统评价和荟萃分析。
Ann Med Surg (Lond). 2021 Aug 5;69:102689. doi: 10.1016/j.amsu.2021.102689. eCollection 2021 Sep.
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Efficacy of intercostal cryoneurolysis as an analgesic adjunct for chest wall pain after surgery or trauma: systematic review.肋间冷冻神经lysis作为手术或创伤后胸壁疼痛镇痛辅助手段的疗效：系统评价
Trauma Surg Acute Care Open. 2021 May 18;6(1):e000690. doi: 10.1136/tsaco-2021-000690. eCollection 2021.