超声引导下神经阻滞在食管癌患者中的研究现状

Research Status of Ultrasound-guided Nerve Block in Patients with Esophageal Cancer

超声引导下神经阻滞目前已广泛用于食管癌手术患者中,主要包括胸椎旁神经阻滞、竖脊肌平面阻滞等,经超声引导可视化可实现预先镇痛,减轻手术刺激,降低患者应激反应,发挥镇痛、抗炎效果,对患者术后恢复具有重要意义。多种神经阻滞方式在镇痛效果、操作简化、安全性等方面展现出各自的优势。因此,临床需关注食管癌手术患者合理的神经阻滞方案,未来应重点分析超声引导下神经阻滞的优势及不足,并进一步改进方案。

The ultrasound-guided nerve block has been widely used in patients with esophageal cancer,mainly including thoracic paravertebral block,erector spinal plane block,etc.,ultrasound-guided visualization can achieve preemptive analgesia,reduce surgical stimulation,reduce stress response of the patients,and exert analgesic and anti-inflammatory effects,which has great significance to the recovery of the patients after operation.Various ways of nerve block each have their own advantages in analgesic effect,operation simplification and safety.Therefore,the clinical needs to pay attention to the reasonable nerve block plan for the patients with esophageal cancer,and the advantages and disadvantages of ultrasound-guided nerve block should be mainly analyzed in the future and the schemes need to be further improved.