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评估后锯肌上肋间平面阻滞作为乳腺癌手术最佳技术的疗效:病例系列

Evaluating the efficacy of serratus posterior superior ıntercostal plane block as an optimal technique in breast cancer surgery: A case series.

作者信息

Sayan Mihrican, Sayan Ozan, Erbas Mesut

机构信息

Department of Anesthesiology and Reanimation, Lapseki State Hospital, Canakkale, Turkey.

Department of Anesthesiology and Reanimation, Canakkale Onsekiz Mart University, Canakkale, Turkey.

出版信息

Saudi J Anaesth. 2025 Jul-Sep;19(3):410-412. doi: 10.4103/sja.sja_592_24. Epub 2025 Jun 16.

DOI:10.4103/sja.sja_592_24
PMID:40642620
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12240491/
Abstract

The wide spread of the serratus posterior superior intercostal plane (SPSIP) block in the hemithorax and axilla suggests it can provide sufficient postoperative analgesia for breast cancer surgery. This case series aims to present the data of five patients who underwent SPSIP block. Patients received preoperative SPSIP block as part of a multimodal analgesia protocol. Our findings indicate that Numeric Rating Scale pain scores remained below 3/10 in all patients, the time to mobilization was shortened, and postoperative opioid requirements were minimal. These data indicate that the SPSIP block might be an efficient choice for pain control in breast cancer surgeries.

摘要

后上锯肌肋间平面(SPSIP)阻滞在半胸和腋窝广泛应用,提示其可为乳腺癌手术提供充分的术后镇痛。本病例系列旨在展示5例行SPSIP阻滞患者的数据。患者接受术前SPSIP阻滞作为多模式镇痛方案的一部分。我们的研究结果表明,所有患者的数字评分量表疼痛评分均保持在3/10以下,活动时间缩短,术后阿片类药物需求量极小。这些数据表明,SPSIP阻滞可能是乳腺癌手术疼痛控制的有效选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb8d/12240491/caedec73e0c7/SJA-19-410-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb8d/12240491/caedec73e0c7/SJA-19-410-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb8d/12240491/caedec73e0c7/SJA-19-410-g001.jpg

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本文引用的文献

1
Serratus Posterior Superior Intercostal Plane Block: A Technical Report on the Description of a Novel Periparavertebral Block for Thoracic Pain.后上锯肌肋间平面阻滞:一种用于治疗胸痛的新型椎旁阻滞技术报告
Cureus. 2023 Feb 3;15(2):e34582. doi: 10.7759/cureus.34582. eCollection 2023 Feb.
2
Evaluation of postoperative pain in patients undergoing modified radical mastectomy with pectoralis or serratus-intercostal fascial plane blocks.评价胸肌或肋间肌筋膜平面阻滞在改良根治性乳房切除术患者中的术后疼痛。
Korean J Anesthesiol. 2020 Oct;73(5):425-433. doi: 10.4097/kja.20159. Epub 2020 Sep 24.
3
The Analgesic Efficacy of Pecto-Intercostal Fascial Block Combined with Pectoral Nerve Block in Modified Radical Mastectomy: A Prospective Randomized Trial.
改良根治性乳腺癌手术中胸肌间沟筋膜平面阻滞联合肋间臂神经阻滞的镇痛效果:一项前瞻性随机试验。
Pain Physician. 2020 Sep;23(5):485-493.
4
Evaluation of ultrasound-guided rhomboid intercostal nerve block for postoperative analgesia in breast cancer surgery: a prospective, randomized controlled trial.超声引导下菱形肋间神经阻滞在乳腺癌手术术后镇痛中的评价:一项前瞻性、随机对照试验。
Reg Anesth Pain Med. 2020 Apr;45(4):277-282. doi: 10.1136/rapm-2019-101114. Epub 2020 Feb 19.
5
Pain after breast surgery: Etiology, diagnosis, and definitive management.乳房手术后疼痛:病因、诊断及确定性治疗
Microsurgery. 2016 Oct;36(7):535-538. doi: 10.1002/micr.30055. Epub 2016 Apr 4.