林新强 陈育人 陈晓 何莹茜

    [摘要] 乳腺癌是女性最常见的恶性肿瘤。由于乳腺区域神经支配复杂，如果术后急性疼痛处理不当，就有发展为慢性疼痛的风险。区域阻滞技术被认为是减少术后急性疼痛和慢性疼痛发生率的最佳选择。几种不同区域阻滞技术均被证明可以有效控制乳腺癌患者术后疼痛、降低阿片类药物用量及降低全麻并发症。超声引导下区域阻滞技术包括胸椎旁神经阻滞、胸神经阻滯、前锯肌平面阻滞、竖脊肌平面阻滞和菱形肋间肌平面阻滞均可用于乳腺癌术后镇痛。因此，这篇综述的目的是分析不同区域阻滞方法的解剖特点、阻滞技术及临床应用，为研究不同区域阻滞技术在乳腺癌根治术中的应用提供依据。

    [关键词] 超声引导;区域阻滞技术;术后镇痛;乳腺癌根治术

    [中图分类号] R737.9;R614.4? ? ? ? ? [文献标识码] A? ? ? ? ? [文章编号] 1673-9701(2022)14-0189-05

    Application progress of different regional block techniques in radical mastectomy of breast cancer

    LIN Xinqiang? CHEN Yuren? CHEN Xiao? HE Yingqian

    Department of Anesthesiology， Affiliated Hospital of Putian University， Putian? 351100， China

    [Abstract] Breast cancer is the most common malignant tumor in women. Due to the complex innervation of the breast area， there is a risk of developing chronic pain if acute pain is not managed properly after surgery. Regional block techniques are considered to be the best option for reducing the incidence of postoperative acute and chronic pain. Several different regional block techniques have been proven to be effective in controlling postoperative pain ......