Wang Yong, Wang Min, Jiang Rui, Zhu Zhao-Qiong, Li Guang-Cai
School of Anesthesiology Zunyi Medical University Zunyi Guizhou China.
Department of Anesthesiology Guizhou Aerospace Hospital Zunyi China.
Ibrain. 2023 Nov 14;11(1):106-111. doi: 10.1002/ibra.12138. eCollection 2025 Spring.
A middle-aged man experienced intermittent acupuncture-like pain in the skin of the right scrotum and medial thigh 1 month after undergoing laparoscopic high ligation of the right hernial sac for a right indirect inguinal hernia in November 2020, and the pain persisted for 6 months. Under ultrasound guidance, ilioinguinal and genitofemoral nerve block and local adhesion water separation were performed with a mixture of 0.25% lidocaine (6 mL) plus prednisolone acetate (10 mg), and the same drugs and methods were repeated five times once a week. After five treatments, the visual analogue scale (VAS) score was reduced from 7 before treatment to 1. During the follow-up period, at 3 months after the end of treatment, the VAS score remained at 0, and this score was sustained at 0 even at the 6-month follow-up. These outcomes indicate that ultrasound-guided nerve block combined with water separation technology can effectively alleviate neuralgia caused by surgical adhesion, which holds important clinical significance in managing such conditions.
一名中年男性于2020年11月因右侧腹股沟斜疝接受腹腔镜下右侧疝囊高位结扎术后1个月，右侧阴囊及大腿内侧皮肤出现间歇性针刺样疼痛，疼痛持续6个月。在超声引导下，使用0.25%利多卡因（6 mL）加醋酸泼尼松龙（10 mg）混合液进行髂腹股沟神经和生殖股神经阻滞及局部粘连水分离，每周重复1次，共进行5次相同药物及方法的治疗。5次治疗后，视觉模拟评分（VAS）从治疗前的7分降至1分。随访期间，治疗结束后3个月时VAS评分为0分，至6个月随访时该评分仍维持在0分。这些结果表明，超声引导下神经阻滞联合水分离技术可有效缓解手术粘连所致神经痛，对这类疾病的治疗具有重要临床意义。
