超声引导下后上锯肌阻滞治疗颈肩胛区肌筋膜疼痛综合征3例报告。

IF 1 Q3 ANESTHESIOLOGY

JA Clinical Reports Pub Date : 2025-07-29 DOI:10.1186/s40981-025-00807-7

Atsushi Sawada, Michiaki Yamakage

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引用次数: 0

摘要

背景：这些病例报告的重点是超声引导下使用30 mL 0.25%罗哌卡因或生理盐水阻滞后上锯肌（SPSM）成功治疗3例以颈肩胛疼痛为症状的肌筋膜疼痛综合征（MPS）患者。病例介绍：SPSM阻滞治疗3例表现为颈肩胛疼痛的门诊患者（病例#1、#2和#3）。30 mL 0.25%罗哌卡因的SPSM阻滞显著降低了NRS评分，并在病例1和病例2中提供了2-3周的疼痛缓解。相反，在病例1和病例3中，用30ml生理盐水阻断SPSM也能轻度降低NRS评分，并提供3周的疼痛缓解。结论：应用0.25%罗哌卡因或生理盐水阻断30 mL可成功降低3例MPS患者的NRS评分。这些研究结果表明，SPSM阻滞可以作为一种有用的治疗选择，MPS患者表现为颈肩胛骨疼痛。

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Ultrasound-guided serratus posterior superior muscle block for myofascial pain syndrome in the cervicoscapular region: a report of three cases.

Background: These case reports focus on successful pain management with ultrasound-guided serratus posterior superior muscle (SPSM) block using 30 mL of 0.25% ropivacaine or physiological saline in three myofascial pain syndrome (MPS) patients presented with cervicoscapular pain.

Case presentation: The SPSM block was administered to three ambulatory patients (cases #1, #2, and #3) who presented with cervicoscapular pain. The SPSM block with 30 mL of 0.25% ropivacaine drastically decreased an NRS score and provided 2-3 weeks of pain relief in cases #1 and #2. On the contrary, the SPSM block with 30 mL of physiological saline also mildly decreased an NRS score and provided 3 weeks of pain relief in cases #1 and #3.

Conclusions: The SPSM block using 30 mL of 0.25% ropivacaine or physiological saline successfully decreased the NRS scores in three MPS patients. These findings suggest that the SPSM block may serve as a useful therapeutic option in MPS patients presenting with cervicoscapular pain.

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来源期刊

JA Clinical Reports ANESTHESIOLOGY-

CiteScore

1.30

自引率

0.00%

发文量

审稿时长

9 weeks

期刊介绍： JA Clinical Reports is a companion journal to the Journal of Anesthesia (JA), the official journal of the Japanese Society of Anesthesiologists (JSA). This journal is an open access, peer-reviewed, online journal related to clinical anesthesia practices such as anesthesia management, pain management and intensive care. Case reports are very important articles from the viewpoint of education and the cultivation of scientific thinking in the field of anesthesia. However, submissions of anesthesia research and clinical reports from Japan are notably decreasing in major anesthesia journals. Therefore, the JSA has decided to launch a new journal, JA Clinical Reports, to encourage JSA members, particularly junior Japanese anesthesiologists, to publish papers in English language.