在上神经阻塞下进行双肩肌切除的纳米长头:一项可行性研究
Jędrzej Lesman1, Błażej Wójtowicz2, Michał Szufnara2
1Department of Orthopedics, Medical University of Łódź, Łódź, Poland. jedreklesman@yahoo.pl.
European journal of medical research
|February 3, 2026
概括
在上神经阻塞 (SSNB) 下,双肩肌长头 (LHBT) 的纳米切割是老年患者的一种安全有效的手术. 这种微创手术技术显著改善了疼痛和肩膀功能,患者满意度很高.
科学领域:
- 整形外科手术 整形外科手术
- 最少侵入性手术的方法
- 疼痛管理 疼痛管理
背景情况:
- 双肩肌 (LHBT) 病理的长头经常导致前肩疼痛.
- 纳米技术在局部或区域麻醉下提供最少的侵入性切割术.
- 上神经阻断 (SSNB) 在清醒的肩膀手术中提供有针对性的止痛.
研究的目的:
- 评估使用SSNB对老年患者进行纳米镜LHBT切割术的可行性,耐受性,可视化和短期结果.
- 为了评估这项技术对于老年人孤立的LHBT相关的肩部疼痛.
主要方法:
- 八名老年患者 (平均年龄为72.5岁) 患有慢性,孤立的LHBT疼痛,在超声波引导的SSNB下使用ArthrexNanoscope进行了纳米镜面切割.
- 患者已经失败了保守的治疗方法,包括物理治疗和皮质类固醇注射.
- 疼痛 (VAS) 和功能 (常数) 在手术前和手术后1天,2周和6周被测量.
主要成果:
- 所有手术均在平均12分钟内成功完成,没有镇静剂或并发症.
- 在所有随访点观察到疼痛 (VAS) 和功能 (常数) 的显著改善.
- 报告了高可视化质量 (4.5/5) 和患者满意度 (4.6/5),在10天后恢复日常活动.
结论:
- 在SSNB下进行纳米式LHBT切割是老年患者与孤立的LHBT病理学的可行,安全和耐受良好的选择.
- 该程序表明,在疼痛和功能方面有着持续的早期改善.
- 需要进一步进行较长后续时间的比较研究.
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