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腹腔复合阻塞:神经性中间弧形带综合征的诊断工具

Kathryn S Bower¹, Chloe C McCarthy¹, Parth Vyasa¹

¹Department of Clinical Research, International Spine, Pain & Performance Center, Washington, DC, USA.

Pain practice : the official journal of World Institute of Pain

|August 5, 2024

概括

室外患者的腹腔复合阻断在怀疑中枢弧形带综合征 (MALS) 的患者中显著减少疼痛. 这种程序可以帮助排除神经性MALS,并指导治疗决策.

科学领域:

胃肠病学胃肠病学
疼痛管理疼痛管理
血管外科血管外科

背景情况:

中间弧形带综合征 (MALS) 是一种罕见的疾病,由于腹动脉的压缩引起腹痛.
准确的诊断可能具有挑战性,通常需要多学科的方法.
结交阻塞被探索为诊断和治疗工具.

研究的目的:

评估室外患者的腹腔复合阻断在减轻急性疼痛方面的疗效.
评估结交阻断在诊断神经性MALS中的作用.

主要方法:

从2021年11月到2023年4月,对从2021年11月到2023年4月接受乳结质阻塞的患者进行回顾性图表审查.
使用数值疼痛评分尺度 (NPRS) 测量疼痛减轻,手术前和后.
对患者人口统计,症状和并发症的分析.

主要成果:

分析了31名患者,94%为女性,平均年龄为29岁.
患者在手术后立即在NPRS上经历了-4的中位数疼痛减轻.
对阻塞的积极反应表明潜在的MALS和指导手术决策.

结论:

室外患者的腹腔复合阻断为疑似MALS患者提供了大量的立即疼痛缓解.
这种程序是排除神经性MALS的宝贵工具.
光学引导的块可以帮助MALS的诊断算法.

关键词:

结核复合阻断 (CPB) 是一种结核复合阻断.中间弧形带综合症 (MALS)

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