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在同步乳腺和结肠癌的单阶段手术中使用多个勃起器脊柱平面导管进行术后止痛:一个案例报告

Binh T Nguyen¹, Van T T Dang¹, Nguyet T H M Pham²

¹From the Department of Anesthesiology and Pain Management.

|December 17, 2025

概括

多重勃起器脊柱平面块 (ESPB) 为接受同时进行乳腺和结肠癌手术的患者提供了有效的疼痛缓解. 这种方法促进了最小的阿片类药物使用和早期患者动员,增强恢复.

科学领域:

麻醉学麻醉学
手术瘤学手术瘤学
疼痛管理疼痛管理

背景情况:

同步的乳腺癌和结肠癌需要复杂的手术管理.
有效的术后止痛是加强手术后恢复 (ERAS) 协议的关键.
勃起脊柱平面阻塞 (ESPB) 是一种新兴的区域麻醉技术.

研究的目的:

评估多导管ESPB在患有同步乳腺癌和结肠癌的患者手术后止痛的疗效和安全性.
评估将ESPB集成到ERAS途径中的复杂,多地点手术的可行性.

主要方法:

一名60岁的女性患者接受了单阶段左乳房切除术和腹腔镜右乳房切除术.
在诱导后放置了三个ESPB导管 (T4左侧,T9双侧).
连续输注罗皮瓦卡因是通过编程间歇性玻尿酸注射进行的.

主要成果:

实现了有效的胸腔腹腔止痛.
手术后的阿片类药物消费量显著减少.
早期的患者动员是成功的,没有任何与阻塞有关的并发症.

结论:

多导管ESPB提供了一种安全有效的选择,用于管理复杂的同步手术过程中的胸腔腹痛.
这种技术通过改善疼痛控制和促进早期康复来支持ERAS原则.
在主要的瘤外科手术中,ESPB在不同解剖区域的疼痛管理方面表现出了多功能性.

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