超声引导腹股沟管周围药物注射治疗腹股沟疝术后慢性疼痛的疗效观察

Efficacy of ultrasound-guided peri-inguinal canal injection in the treatment of chronic pain after inguinal hernia surgeryYANG Ben1,LIU Fei1,WU Yan1,PEI Wei1,LI Juan WU Baishan3

摘要:

目的：观察超声引导腹股沟管周围药物注射治疗腹股沟疝术后慢性疼痛的疗效；方法：回顾我院疼痛门诊2019年9月~2021年9月56例腹股沟疝术后慢性腹股沟区疼痛患者，通过超声引导腹股沟管周围药物注射治疗，采用疼痛视觉模拟评分（VAS）分别评估治疗前、治疗后即刻、24h、1周、2周、4周的疼痛缓解情况。结果：超声引导腹股沟管周围药物注射后，与治疗前相比疼痛缓解明显，治疗前与治疗后即刻、24h、1周、2周、4周的VAS评分相比，差异有统计学意义（P<0.05）。结论：超声引导腹股沟管周围药物注射治疗腹股沟疝术后慢性疼痛，疼痛缓解明显，短期疗效稳定，且超声引导药物注射，精准、安全，可作为临床治疗腹股沟疝术后慢性疼痛的有效治疗方法。

Abstract:

Objective: To observe the efficacy of ultrasound-guided periinguinal drug injection in the treatment of postoperative chronic pain in inguinal hernia. Methods: A total of 56 patients with chronic pain in the inguinal region after inguinal hernia surgery were reviewed in the pain clinic of our hospital from September 2019 to September 2021. Pain relief was evaluated 24 hours, 1 week, 2 weeks and 4 weeks immediately after treatment by visual analogue scale (VAS) before treatment Results: Compared with before treatment, pain relief was obvious after ultrasounds guided periinguinal canal drug injection. Compared with 24h, 1 week, 2 weeks and 4 weeks immediately after treatment, VAS scores before and after treatment showed statistically significant difference (P< 0.05). Conclusions: Ultrasound-guided periinguinal drug injection in the treatment of chronic pain after inguinal hernia has obvious pain relief and stable short-term efficacy. Moreover, ultrasound-guided drug injection is accurate and safe, and can be used as an effective clinical treatment for chronic pain after inguinal hernia.