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下肢截肢术中进行冷冻神经阻滞可预防幻肢痛的发生。

Intraoperative cryo nerve block during lower extremity amputation prevents the development of phantom limb pain.

作者信息

O'Connor Lizabeth A, Quinn Curtis C, Houseman Bryan

机构信息

Department of Surgery, Division of Cardiovascular and Thoracic Surgery, Elliot Health System, Manchester, NH.

Department of Surgery, Division of Orthopedic Trauma, Elliot Health System, Manchester, NH.

出版信息

J Vasc Surg Cases Innov Tech. 2025 Jun 13;11(5):101877. doi: 10.1016/j.jvscit.2025.101877. eCollection 2025 Oct.

Abstract

Phantom limb pain is the experience of painful sensations in an amputated limb. It is highly prevalent with unclear etiology. There is no consensus regarding the ideal prevention and treatment of this condition. We report a case of a 58-year-old female who underwent a right below-knee amputation with concomitant application of cryo nerve block to the tibial, deep, and superficial peroneal nerves. The patient denied phantom limb pain at 1 year following surgery. This case highlights the potential benefits of cryo nerve block for postoperative pain reduction and prevention of phantom limb pain.

摘要

幻肢痛是指在截肢肢体中感受到疼痛的现象。其发病率很高,病因尚不明确。对于这种病症的理想预防和治疗方法尚无共识。我们报告一例58岁女性患者,该患者接受了右膝下截肢手术,并同时对胫神经、腓深神经和腓浅神经进行了冷冻神经阻滞。术后1年,患者否认有幻肢痛。该病例突出了冷冻神经阻滞在减轻术后疼痛和预防幻肢痛方面的潜在益处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bef/12343356/ced3a9e7ec3c/gr1.jpg

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