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1
Is paravertebral block the optimal analgesic modality for non-mastectomy breast surgery?椎旁阻滞是非乳房切除术式乳腺癌手术的最佳镇痛方式吗？
Croat Med J. 2025 Jul 5;66(3):238-240. doi: 10.3325/cmj.2025.66.238.
2
Regional analgesia techniques for postoperative pain after breast cancer surgery: a network meta-analysis.乳腺癌手术后疼痛的区域镇痛技术：一项网状Meta分析
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Serratus Plane Block in Breast Cancer Surgery: A Systematic Review and Meta-Analysis.乳腺肿瘤手术中应用胸长神经阻滞：系统评价和荟萃分析。
Clin Breast Cancer. 2023 Jan;23(1):e1-e13. doi: 10.1016/j.clbc.2022.10.009. Epub 2022 Oct 19.
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Continuous paravertebral block for post-cardiothoracic surgery analgesia: a systematic review and meta-analysis.连续椎旁阻滞用于心胸外科手术后镇痛：一项系统评价和荟萃分析。
Eur J Cardiothorac Surg. 2016 Dec;50(6):1010-1018. doi: 10.1093/ejcts/ezw168. Epub 2016 May 30.
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Paravertebral Block Plus Thoracic Wall Block versus Paravertebral Block Alone for Analgesia of Modified Radical Mastectomy: A Retrospective Cohort Study.椎旁阻滞联合胸壁阻滞与单纯椎旁阻滞用于改良根治性乳房切除术镇痛的回顾性队列研究
PLoS One. 2016 Nov 9;11(11):e0166227. doi: 10.1371/journal.pone.0166227. eCollection 2016.
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Comparison of Analgesic Effects of Different Regional Blocks in Video-assisted Thoracic and Breast Surgeries: A Network Meta-analysis and Systematic Review.视频辅助胸腔和乳腺手术中不同区域阻滞的镇痛效果比较：网络荟萃分析和系统评价。
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The new serratus anterior plane block is more effective than the SPB block for early postoperative analgesia following modified radical mastectomy surgery.新型前锯肌平面阻滞在改良根治性乳房切除术后早期镇痛方面比胸小肌后阻滞更有效。
Sci Rep. 2025 Jul 7;15(1):24281. doi: 10.1038/s41598-025-04438-x.
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[Comparison of the post-operative analgesic effect of ultrasound-guided serratus anterior plane block combined with pectoral nerves block Ⅰ and thoracic paravertebral block in radical mastectomy].[超声引导下前锯肌平面阻滞联合胸神经阻滞Ⅰ与胸椎旁神经阻滞在乳腺癌根治术中术后镇痛效果的比较]
Zhonghua Yi Xue Za Zhi. 2021 Jul 20;101(27):2147-2151. doi: 10.3760/cma.j.cn112137-20210314-00630.
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Efficacy of bi-level erector spinae plane block versus bi-level thoracic paravertebral block for postoperative analgesia in modified radical mastectomy: a prospective randomized comparative study.竖脊肌平面双侧阻滞与胸椎旁双侧阻滞在改良根治性乳房切除术后镇痛效果的比较：一项前瞻性随机对照研究。
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Preoperative Paravertebral Block and Chronic Pain after Breast Cancer Surgery: A Double-blind Randomized Trial.术前椎旁阻滞与乳腺癌手术后慢性疼痛：一项双盲随机试验。
Anesthesiology. 2021 Dec 1;135(6):1091-1103. doi: 10.1097/ALN.0000000000003989.

引用本文的文献

1
Refining anesthesia practice - regional techniques, risk stratification, and evidence-based analgesia.优化麻醉实践——区域技术、风险分层与循证镇痛
Croat Med J. 2025 Jul 5;66(3):183-185. doi: 10.3325/cmj.2025.66.183.

本文引用的文献

1
Paravertebral versus Pectoralis-II (Interpectoral and Pectoserratus) Nerve Blocks for Postoperative Analgesia after Nonmastectomy Breast Surgery: A Randomized, Controlled, Observer-masked Noninferiority Trial.椎旁与胸肌 II （胸内和胸肌）神经阻滞用于非乳房切除术乳房手术后的术后镇痛：一项随机、对照、观察者设盲非劣效性试验。
Anesthesiology. 2024 Dec 1;141(6):1039-1050. doi: 10.1097/ALN.0000000000005207.
2
Incidence and Risk Factors of Chronic Postoperative Pain in Same-day Surgery: A Prospective Cohort Study.日间手术后慢性术后疼痛的发生率及危险因素：一项前瞻性队列研究。
Anesthesiology. 2024 Aug 1;141(2):286-299. doi: 10.1097/ALN.0000000000005030.
3
Serratus anterior plane versus paravertebral nerve blocks for postoperative analgesia after non-mastectomy breast surgery: a randomized controlled non-inferiority trial.前锯肌平面阻滞与椎旁神经阻滞用于非乳房切除术乳房手术后的术后镇痛：一项随机对照非劣效性试验。
Reg Anesth Pain Med. 2021 Sep;46(9):773-778. doi: 10.1136/rapm-2021-102785. Epub 2021 Jun 22.
4
THE ROLE OF PARAVERTEBRAL BLOCKS IN AMBULATORY SURGERY: REVIEW OF THE LITERATURE.椎旁阻滞在门诊手术中的作用：文献综述
Acta Clin Croat. 2019 Jun;58(Suppl 1):43-47. doi: 10.20471/acc.2019.58.s1.06.
5
A combination of levobupivacaine and lidocaine for paravertebral block in breast cancer patients undergoing quadrantectomy causes greater hemodynamic oscillations than levobupivacaine alone.左旋布比卡因与利多卡因联合用于乳腺癌象限切除术患者的椎旁阻滞时，比单独使用左旋布比卡因会引起更大的血流动力学波动。
Croat Med J. 2017 Aug 31;58(4):270-280. doi: 10.3325/cmj.2017.58.270.
6
Efficacy and safety of paravertebral blocks in breast surgery: a meta-analysis of randomized controlled trials.椎旁阻滞在乳腺手术中的疗效和安全性：一项随机对照试验的荟萃分析。
Br J Anaesth. 2010 Dec;105(6):842-52. doi: 10.1093/bja/aeq265. Epub 2010 Oct 14.
7
Paravertebral block: new benefits from an old procedure.椎旁阻滞：一项古老技术带来的新益处
Curr Opin Anaesthesiol. 2007 Aug;20(4):316-8. doi: 10.1097/ACO.0b013e328166780e.
8
Somatic paravertebral nerve blockade. Incidence of failed block and complications.躯体椎旁神经阻滞。阻滞失败及并发症的发生率。
Anaesthesia. 2001 Dec;56(12):1184-8. doi: 10.1046/j.1365-2044.2001.02084-2.x.
9
Paravertebral blockade. Failure rate and complications.椎旁阻滞。失败率与并发症。
Anaesthesia. 1995 Sep;50(9):813-5. doi: 10.1111/j.1365-2044.1995.tb06148.x.
10
Thoracic epidural anesthesia improves outcome after breast surgery.胸段硬膜外麻醉可改善乳房手术后的预后。
Ann Surg. 1995 Nov;222(5):663-9. doi: 10.1097/00000658-199511000-00009.

Is paravertebral block the optimal analgesic modality for non-mastectomy breast surgery?

作者信息

Kukić Lora, Župčić Miroslav, Višković Filipčić Nataša, Sulen Nina, Duzel Viktor, Tonković Dinko

机构信息

Miroslav Župčić, Department of Anesthesiology, Intensive Care and Pain Medicine, Rijeka University Hospital Center, Rijeka, Croatia,

出版信息

Croat Med J. 2025 Jul 5;66(3):238-240. doi: 10.3325/cmj.2025.66.238.

DOI:10.3325/cmj.2025.66.238
PMID:40635347
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12246963/
Abstract
摘要