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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.

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

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