脊柱源性腹痛。肋间神经阻滞的价值。
Abdominal pain of spinal origin. Value of intercostal block.
作者信息
Ashby E C
出版信息
Ann R Coll Surg Engl. 1977 May;59(3):242-6.
Abstract
A prospective study was made of 73 patients presenting in one year with abdominal pain provisionally diagnosed as of spinal origin. The criteria for audit of diagnosis and treatment are defined. The diagnosis was confirmed in 53 patients, 49 of whom had been treated with a lignocaine intercostal block in the relevant segment. Thirty-three of these (67.3%) had both complete and prolonged relief. It is suggested that the block causes interruption of a vicious circle of pain and muscle spasm in a 'spinal reflex pain syndrome'.
摘要
对73例在1年内因腹痛前来就诊且初步诊断为脊柱源性腹痛的患者进行了一项前瞻性研究。定义了诊断和治疗审核标准。53例患者确诊，其中49例在相关节段接受了利多卡因肋间阻滞治疗。其中33例（67.3%）疼痛完全缓解且持续时间较长。研究表明，在“脊柱反射性疼痛综合征”中，这种阻滞可中断疼痛与肌肉痉挛的恶性循环。
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