在关动脉切除术后出现的延迟发作的肌关节疼痛:一个病例报告
Ikuyo Watanabe1, Katsuyuki Moriwaki1,2, Rumiko Hachisuka1
1Department of Anesthesiology, Hiroshima University Hospital, Hiroshima, JPN.
Cureus
|October 10, 2025
概括
这项案例研究强调了延迟发作的肌肌痛综合征 (MPS) 作为关节动脉动脉管术后慢性术后疼痛 (CPSP) 的肌肉骨原因. 多模式治疗有效缓解疼痛并改善功能.
科学领域:
- 疼痛医学 医学 疼痛医学
- 肌肉骨系统疾病 肌肉骨系统疾病
- 手术并发症 手术并发症
背景情况:
- 慢性术后疼痛 (CPSP) 通常与神经病,遗传或心理社会因素有关.
- 肌肉骨的原因,如肌肉关节疼痛综合征 (MPS),在CPSP中经常被低估.
- 在心脏手术期间的关动脉管可能会导致延迟的肌肉骨并发症.
研究的目的:
- 报告一个延迟发病的MPS病例作为CPSP的表现,该病例是在关动脉管之后出现的.
- 提高对MPS作为持续的术后疼痛的被忽视的原因的认识.
- 强调在CPSP中考虑肌肉骨病因的重要性.
主要方法:
- 一名48岁的男性患者在关动脉管术后一年出现了持续的胸痛.
- 临床检查显示了姿势不对称性,肌肉缩,全,以及肌筋触发点 (MTrPs).
- 临床发现和超声波证实了MPS的诊断,随后进行了多模式治疗,包括药物治疗,触发点注射和神经阻塞.
主要成果:
- 患者每两周接受五次多式联络疗法.
- 取得了显著的疼痛缓解和解决机械全体的结果.
- 观察到姿势和胸部主要肌肉结构的改善.
结论:
- 延迟发作的MPS可以表现为关动脉管术后CPSP的肌肉骨并发症.
- 局部肌肉创伤和胸部神经损伤可能是导致因素.
- 多模式管理,包括触发点注射和神经阻塞,是治疗这种疾病的有效方法.
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