在椎手术后慢性部疼痛:我们错过了什么?
Roberto Cirocchi1,2, Paolo Bruzzone3, Bruno Cirillo4
1Department of Digestive and Emergency Surgery, "S. Maria" Hospital, 05100 Terni, Italy.
修复后的慢性术后 inguinal 疼痛 (CPIP) 是常见的,并且有很大的差异. 区分疼痛类型和使用标准化诊断对于有效管理至关重要.
科学领域:
- 外科手术的结果
- 疼痛管理 疼痛管理
- Hernia 修复并发症
背景情况:
- 慢性术后 inguinal 疼痛 (CPIP) 是 inguinal 修复的常见并发症.
- 网状技术减少了复发,但增加了对术后疼痛的关注.
- 了解CPIP对于改善患者康复和生活质量至关重要.
研究的目的:
- 审查关于CPIP的国际文献.
- 分析影响CPIP发病率的因素,包括手术技术和地理差异.
- 探索CPIP中神经病和痛感疼痛之间的区别.
主要方法:
- 关于CPIP的国际研究的叙述性综述.
- 选择标准包括相关性,样本大小和疼痛分类.
- 对发生率,手术方法和疼痛类型的数据进行分析.
主要成果:
- CPIP的发病率在6%至64.3%之间,受随访时间和手术方法的影响.
- 开放修复与腹腔镜方法相比,CPIP率更高.
- 神经病痛在特定群体中很常见,但疼痛分类往往缺乏.
结论:
- CPIP是多因素的,在临床实践中经常被忽视.
- 为了更好地分类和管理疼痛,需要标准化的诊断工具和长期跟踪.
- 结构化诊断算法可以帮助区分疼痛类型和量身定制治疗.
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