创新“三合一”方法干预下肢神经性疼痛:回顾性病例系列研究。

IF 1.5 Q3 ANESTHESIOLOGY
Local and Regional Anesthesia Pub Date : 2025-04-02 eCollection Date: 2025-01-01 DOI:10.2147/LRA.S511488
Jinyu Lai, Yan Lai, Yijun Wu, Yong Xiang, Fengqin Zhang
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引用次数: 0

摘要

目的:股神经前皮支微创介入治疗股内区难治性神经性疼痛,通常需要针对闭孔神经皮支、股神经前皮支和隐神经髌下支这三条神经进行多处穿刺。临床实践证明,创新的“三合一”技术允许从单个入口点同时靶向三个皮神经,有效地治疗大腿内侧疼痛。此外,该方法也可用于大腿内侧浅层手术的局部麻醉。我们希望在疼痛医生中推广这种穿刺技术。患者与方法:收集2023年4月~ 2024年9月湖北医学院十堰市太和医院疼痛科收治的8例大腿内侧局部疼痛患者的临床资料。所有患者均出现闭孔神经皮支、股内侧皮神经前支和隐神经髌下支疼痛。采用“三合一”入路进行神经阻滞和射频穿刺。结果:经“三合一”治疗后,8例患者的数值评定量表(NRS)评分均有不同程度的改善。患者对治疗方法及疗效满意,术中未发生神经损伤等并发症。结论:“三合一”入路是治疗下肢内区疼痛的潜在有效方法,可显著减少多次穿刺造成的损伤,为其他部位的微创治疗提供思路;这种方法满足了对微创治疗的期望。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Innovative "Three-in-One" Method for Intervention of Lower Limb Neuropathic Pain: Retrospective Case Series Study.

Purpose: Minimally invasive intervention therapy anterior cutaneous branch of the femoral nerve for refractory neuropathic pain in the inner thigh area typically requires punctures at multiple sites to target the three nerves of the obturator nerve cutaneous branch, anterior cutaneous branch of the femoral nerve, and infrapatellar branch of the saphenous nerve. Clinical practice has demonstrated that the innovative "three-in-one" technique allows for simultaneous targeting of the three cutaneous nerves from a single entry point, effectively treating inner thigh pain. Moreover, this approach can also be used for local anaesthesia in shallow surgical procedures in the inner thigh area. We hope to promote this puncture technique among pain physicians.

Patients and methods: Clinical data of 8 patients with localized pain in the inner thigh from the Pain Department of Taihe Hospital, Shiyan City, Hubei Medical College, from April 2023 to September 2024 were collected. All the patients experienced pain in the cutaneous branch of the obturator nerve, the anterior branch of medial femoral cutaneous nerve, and the infrapatellar branch of the saphenous nerve. The "three-in-one" approach was used for nerve block and radiofrequency puncture.

Results: After the "three-in-one" approach, the 8 patients showed varying degrees of improvement in their Numeric Rating Scale (NRS) scores. The patients were satisfied with the treatment method and efficacy, and no complications, such as nerve damage, occurred during the operation.

Conclusion: The "three-in-one" approach is a potentially effective method for treating pain in the inner lower limb area, significantly reducing the damage caused by multiple puncture and providing ideas for more minimally invasive treatment of other areas; this approach meets expectations for more minimally invasive treatment.

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来源期刊
CiteScore
6.30
自引率
0.00%
发文量
12
审稿时长
16 weeks
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