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在局部和区域麻醉下释放阴茎道:一个范围审查
Madeline E Hubbard1, Amr AlMasri1, Nasimul S Huq2,3
1Department of Medicine, McMaster University, Hamilton, ON, Canada.
Plastic surgery (Oakville, Ont.)
|December 29, 2025
概括
局部麻醉 (LA) 和区域麻醉 (RA) 是安全有效的管综合征 (CuTS) 释放手术. 这些麻醉技术显示了与全身麻醉 (GA) 相当的并发症率,并可能改善患者的治疗结果.
科学领域:
- 整形外科 整形外科 整形外科
- 麻醉学 麻醉学
- 神经外科 神经外科
背景情况:
- 立方体道综合征 (CuTS) 涉及肘部部神经的压缩.
- 当保守治疗失败时,可以进行手术释放.
- 对于CuTS释放的麻醉选择,包括局部麻醉 (LA) 和区域麻醉 (RA),正在越来越多地被探索.
研究的目的:
- 进行对当前文献进行范围审查.
- 总结LA和RA对CuTS释放的安全性和有效性.
主要方法:
- 根据PRISMA-ScR指南进行范围审查.
- 搜索了MEDLINE,EMBASE,科学网,以及CINAHL. 这些都是我们最喜欢的.
- 包括21项研究,涉及1385名患者 (1406个肘部).
主要成果:
- 并发症的发生率:LA (2.9%),RA (2.3%),全身麻醉 (GA) (2.5%).
- RA和LA显示了与GA相似的安全概况.
- 术后手术可以减少术后疼痛,术后手术和术后手术都有潜在的好处,如术后反和改善疼痛管理.
结论:
- LA和RA是CuTS释放的安全和可行的麻醉选择.
- 这些技术的安全性与GA相提并论.
- 在术后疼痛控制和患者满意度方面,LA和RA可能会带来优势.
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