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超声引导下肋间冷冻神经lysis治疗肋软骨滑囊炎所致慢性疼痛:1例报告

Treatment of Chronic Pain Due to Slipping Rib Syndrome Using Ultrasound-Guided Intercostal Cryoneurolysis: A Case Report.

作者信息

Filipovski Igor, Vesterdahl Freja, Curran Brian P, Gabriel Rodney A

机构信息

Copenhagen Cryo Center, Copenhagen, Denmark.

University of Copenhagen, Copenhagen, Denmark.

出版信息

Case Rep Anesthesiol. 2025 Mar 11;2025:8800687. doi: 10.1155/cria/8800687. eCollection 2025.

DOI:10.1155/cria/8800687
PMID:40226487
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11991757/
Abstract

Slipping rib syndrome (SRS) is an underdiagnosed condition, in which some ribs are not connected to the sternum, which may cause increased laxity of the interchondral ligament. This may result in pain in the lower chest and upper abdomen area. Treatment typically includes conservative measures, steroid injections, and surgery. Ultrasound-guided intercostal cryoneurolysis is a minimally-invasive procedure that may provide long-term analgesia in patients with SRS. This case report describes the procedure for a patient treated with right-sided ultrasound-guided cryoneurolysis of the intercostal nerves at the levels T7, T8, and T9.

摘要

肋软骨滑囊炎(SRS)是一种诊断不足的病症,其中一些肋骨未与胸骨相连,这可能导致软骨间韧带松弛加剧。这可能会导致下胸部和上腹部区域疼痛。治疗通常包括保守措施、类固醇注射和手术。超声引导下肋间冷冻神经lysis是一种微创手术,可为SRS患者提供长期镇痛。本病例报告描述了一名接受右侧T7、T8和T9水平肋间神经超声引导冷冻神经lysis治疗的患者的手术过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a84/11991757/a49f48bfddbb/CRIA2025-8800687.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a84/11991757/a3d0a9e8e0fb/CRIA2025-8800687.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a84/11991757/a49f48bfddbb/CRIA2025-8800687.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a84/11991757/a3d0a9e8e0fb/CRIA2025-8800687.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a84/11991757/a49f48bfddbb/CRIA2025-8800687.002.jpg

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本文引用的文献

1
A Narrative Review of Ultrasound-Guided and Landmark-based Percutaneous Cryoneurolysis for the Management of Acute and Chronic Pain.超声引导与体表标志定位经皮冷冻神经松解术治疗急慢性疼痛的叙述性综述。
Curr Pain Headache Rep. 2024 Nov;28(11):1097-1104. doi: 10.1007/s11916-024-01281-z. Epub 2024 Jul 4.
2
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.
3
Percutaneous cryoneurolysis for acute pain management: current status and future prospects.
经皮冷冻神经松解术治疗急性疼痛管理:现状与展望。
Expert Rev Med Devices. 2021 Jun;18(6):533-543. doi: 10.1080/17434440.2021.1927705. Epub 2021 May 17.
4
A Comprehensive Review of Slipping Rib Syndrome: Treatment and Management.滑动肋综合征的综合评价:治疗与管理。
Psychopharmacol Bull. 2020 Oct 15;50(4 Suppl 1):189-196.
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Cryoneurolysis and Percutaneous Peripheral Nerve Stimulation to Treat Acute Pain.冷冻神经松解术和经皮外周神经刺激治疗急性疼痛。
Anesthesiology. 2020 Nov 1;133(5):1127-1149. doi: 10.1097/ALN.0000000000003532.
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Does cryoneurolysis result in persistent motor deficits? A controlled study using a rat peroneal nerve injury model.冷冻神经松解术是否会导致持续的运动功能障碍?一项使用大鼠腓总神经损伤模型的对照研究。
Reg Anesth Pain Med. 2020 Apr;45(4):287-292. doi: 10.1136/rapm-2019-101141. Epub 2020 Jan 29.
7
Slipping Rib Syndrome: A review of evaluation, diagnosis and treatment.肋软骨滑脱综合征:评估、诊断与治疗综述
Semin Pediatr Surg. 2018 Jun;27(3):183-188. doi: 10.1053/j.sempedsurg.2018.05.009. Epub 2018 May 27.
8
Diagnosis and Treatment of Slipping Rib Syndrome.滑脱肋综合征的诊断与治疗
Clin J Sport Med. 2019 Jan;29(1):18-23. doi: 10.1097/JSM.0000000000000506.
9
Novel cryoneurolysis device for the treatment of sensory and motor peripheral nerves.用于治疗感觉和运动性周围神经的新型冷冻神经lysis装置。 (注:“lysis”常见释义为“分解、溶解” ,这里结合语境,可能是冷冻神经溶解之类的专业说法,但因专业领域可能有特定含义,整体译文可能需根据医学专业知识进一步优化。)
Expert Rev Med Devices. 2016 Aug;13(8):713-25. doi: 10.1080/17434440.2016.1204229. Epub 2016 Jul 13.