国际麻醉学与复苏杂志   2021, Issue (9): 5-5
    
超声引导下筋膜间神经阻滞用于乳腺癌手术的研究进展
黄家慧, 唐春林1()
1.广州医科大学
Research advances of ultrasound‑guided interfascial nerve block in breast cancer surgery
 全文:
摘要:

乳腺癌手术可能会导致严重的术后急性和慢性疼痛。控制乳腺癌围手术期疼痛的方式有很多,其中区域阻滞镇痛技术越来越受到重视。随着超声可视化技术的引入,区域阻滞也得到了迅速的发展,尤其是筋膜间神经阻滞。文章总结筋膜间神经阻滞对乳腺癌围手术期疼痛及术后恢复影响的研究资料发现,筋膜间神经阻滞能减少患者围手术期镇痛药物的用量,减轻术后急性疼痛,提高患者术后舒适度。但对乳腺癌术后慢性疼痛及癌症复发的影响还需要更多的临床研究证实。因此,筋膜间神经阻滞在乳腺癌手术中应用推广的同时,应侧重于研究新的阻滞技术的安全性与有效性,以及对乳腺癌远期结局的影响。

关键词: 乳腺癌; 超声引导; 筋膜间神经阻滞; 区域阻滞
Abstract:

Breast cancer surgery can cause severe postoperative acute and chronic pain. Many ways can alleviate perioperative breast pain, and regional block techniques are more effective and attractive. With the introduction of ultrasound visualization technology, the regional block has developed rapidly, especially interfascial nerve block. This article analyzes and summarizes literature about the effects of interfascial nerve block on the perioperative pain and postoperative recovery of breast cancer patients. An interfascial nerve block can reduce the consumption of analgesics postoperatively, reduce acute and chronic postoperative pain, and improve the postoperative comfort of the patients. However, it is indispensable to confirm the impact of interfascial nerve block on postoperative chronic pain and cancer recurrence with more clinical trials. Therefore, while interfascial nerve block is being promoted in breast cancer surgery, researchers should focus more on the safety and effectiveness of new block techniques and their impact on the long‑term outcome of breast cancer.

Key words: Breast cancer; Ultrasound‑guided; Interfascial nerve block; Regional block