...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of Clinical and Diagnostic Research >Technique, Efficiency and Safety of Different Nerve Blocks for Analgesia in Laser Ablation and Sclerotherapy for Lower Limb Superficial Venous Insufficiency ? A Multicentre Experience
【24h】

Technique, Efficiency and Safety of Different Nerve Blocks for Analgesia in Laser Ablation and Sclerotherapy for Lower Limb Superficial Venous Insufficiency ? A Multicentre Experience

机译：下肢浅表静脉功能不全的激光消融和硬化疗法中不同神经阻滞镇痛的技术，效率和安全性？多中心体验

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Introduction: Laser ablation and sclerotherapy, as minimally invasive alternatives to surgery for varicose veins, have good efficacy, safety and cosmetic result. Some form of anaesthesia is generally used for pain control.Aim: To describe the technique and evaluate the efficacy and safety of femoral, saphenous and sciatic nerve blocks in isolation or in combination for analgesia during laser ablation and sclerotherapy for lower limb varicose veins.Materials and Methods: In this prospective observational study, over a period of 33 months, in 856 limbs of 681 patients with varicose veins, ultrasound guided femoral, saphenous and sciatic nerve blocks for analgesia were performed in 769, 808 and 52 instances respectively; following which, endovenous laser ablation, sclerotherapy or combination of both were carried out using standard practice. After completion of the procedure, Visual Analogue Pain Scale (VAS) was used for pain assessment, and muscle weakness was assessed clinically.Results: Nerve blocks could be successfully performed in all patients. Observed pain scores were 0 or 1 in 591 (69%), 2 or 3 in 214 (25%) and 4 in 51 (9%) legs with no score more than 4. Higher grades of pain were noted in femoral blocks during early stages of our learning curve. Mild to moderate muscle weakness was observed in 163 (2%) and 7 (13%) patients who underwent femoral and sciatic block respectively, which persisted for an average of two and a half hours and none beyond four and a half hours; saphenous nerve being a pure sensory nerve, did not cause motor weakness.Conclusion: For analgesia during laser ablation and/or sclerotherapy of varicose veins, ultrasound guided nerve blocks can be easily and quickly performed. They provide excellent pain relief and comfort to the patient and to the operator; and they do not cause any additional complication.
机译：简介：激光消融和硬化疗法作为静脉曲张手术的微创替代方法，具有良好的疗效，安全性和美容效果。通常使用某种形式的麻醉来控制疼痛。目的：描述技术并评估在激光消融和硬化治疗下肢静脉曲张过程中单独或联合使用的股，隐，坐骨神经阻滞的镇痛效果和安全性。方法：在这项为期33个月的前瞻性观察性研究中，对681例静脉曲张患者的856肢进行了超声引导的股，隐，坐骨神经阻滞镇痛效果分别为769、808和52次。然后，使用标准方法进行静脉激光消融，硬化疗法或两者结合。手术完成后，使用视觉模拟疼痛量表（VAS）进行疼痛评估，并通过临床评估肌肉无力。结果：所有患者均可成功进行神经阻滞。观察到的疼痛评分分别为591腿中的0或1（69％），214腿中的2或3（25％）和51腿中的4腿（9％），且得分均不超过4。学习曲线的各个阶段。分别接受股骨和坐骨神经阻滞的163例（2％）和7例（13％）患者观察到轻度至中度肌无力，平均持续2个半小时，且持续4个半小时以上。隐神经是单纯的感觉神经，不会引起运动无力。结论：对于激光消融和/或静脉曲张硬化治疗期间的镇痛，超声引导的神经阻滞可以轻松，快速地进行。它们为患者和操作者提供了出色的疼痛缓解和舒适感;并且不会引起任何其他并发症。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号