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首页> 外文期刊>Surgical Endoscopy >Does laparoscopy used in open exploration alleviate pain associated with chronic intractable abdominal wall neuralgia?
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Does laparoscopy used in open exploration alleviate pain associated with chronic intractable abdominal wall neuralgia?

机译：腹腔镜用于开放式探查是否可以减轻与慢性顽固性腹壁神经痛有关的疼痛？

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Background: This study aimed to assess the efficacy of diagnostic laparoscopy and open exploration of trigger points (scar revision and neurectomy) in the treatment of intractable chronic abdominal wall pain. Methods: This prospective nonrandomized study enrolled 24 patients (21 women) with an average age of 59 ± 11 years. Abdominal wall pain was diagnosed by excluding other causes of pain and using multiple injections of bupivacain. The patients' demographic data and long-term postoperative course (37 ± 13 months) were carefully recorded. Results: Using laparoscopy, intraabdominal adhesions close to trigger points were found and lysed in 15 patients (63%). Next, a subcutaneous nerve resection was performed. After 1 month, 33% of the patients were completely pain free, and 42% reported alleviation of pain. After 3 years, chronic abdominal pain was totally healed in 25%, diminished in 50%, and unchanged or increased in 25% of the patients. A total of 23 patients (96%) reported that surgery was beneficial for their intractable pain. Conclusions: Laparoscopy used in open exploration is beneficial for 75% of carefully selected patients with chronic abdominal wall pain. 2006 Springer Science+Business Media, Inc.
机译：背景：这项研究旨在评估诊断性腹腔镜检查和开放探查触发点（疤痕翻修和神经切除术）治疗顽固性慢性腹壁痛的疗效。方法：这项前瞻性非随机研究纳入了24例患者（21名女性），平均年龄为59±11岁。通过排除其他疼痛原因并多次注射布比卡因来诊断腹壁疼痛。仔细记录患者的人口统计学数据和长期的术后病程（37±13个月）。结果：使用腹腔镜检查，发现腹腔内粘连接近触发点并溶解了15例患者（63％）。接下来，进行皮下神经切除术。 1个月后，有33％的患者完全没有疼痛，而42％的患者报告疼痛减轻。 3年后，慢性腹痛在25％的患者中完全治愈，在25％的情况下有所减轻，在25％的患者中未改变或增加。共有23位患者（96％）报告说，手术对于他们的顽固性疼痛有益。结论：腹腔镜用于开放性探查对经过精心选择的慢性腹壁痛患者中的75％有益。 2006年Springer Science + Business Media，Inc.

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