胸脊神经根阻滞疗法专家共识(2024版)  

Expert consensus on thoracic spinal nerve root block therapy(2024 edition)

作　　者：胸脊神经根阻滞疗法中国专家共识编写专家组 郑拥军 陈黔 薛朝霞[4] 冯智英[5] 陈付强[6] 吴大胜[7] 曹嵩 解温品 杨晓秋[9] 李亦梅[10] 朱谦[11] 陈立平 Expert Panel for Drafting Consensus of Chinese Experts on Thoracic Spinal Nerve Root Bloch Therapy;Zheng Yongjun;Chen Qian;Xue Zhaoxia;Feng Zhiying;Chen Fuqiang;Wu Dasheng;Cao Song;Xie Wenpin;Yang Xiaoqiu;Li Yimei;Zhu Qian;Chen Liping(不详;Department of Painology,Huadong Hospital afiliated to Fudan University,Shanghai City 200040,China;Department of Painology,Beijing Jishuitan Hospital Guizhou Hospital,Guiyang City,Guizhou Province 550002,China;Department of Painology,First Hospital of Shanxi Medical University,Taiyuan City,Shanxi Province 030001,China;Department of Painology,First Afiliated Hospital of Zhejiang University,Hangzhou City,Zhejiang Province 310000,China;Department of Painology,Qingdao Municipal Hospital,Qingdao City,Shandong Province 266071,China;Department of Painology,Jilin Provincial People's Hospital,Changchun City,Jilin Province 130021,China;Department of Painology,The Tenth Afiliated Hospital of Southern Medical University(Dongguan People's Hospital),Dongguan City,Guangdong Province 523059,China;Department of Painology,First Affiliated Hospital of Chongqing Medical University,Chongqing City 400016,China;Department of Painology,First Affiliated Hospital of Xinjiang Medical University,Urumqi City,Xinjiang Uygur Autonomous Region 830054,China;Department of Painology,China-Japan Friendship Hospital,Beijing City 100029,China;Department of Painology,The Affiliated Hospital of Xuzhou Medical University,Xuzhou City,JiangsuProvince221000,China)

机构地区：[1]不详 [2]复旦大学附属华东医院疼痛科,上海市200040 [3]北京积水潭医院贵州医院疼痛科,贵阳市550002 [4]山西医科大学第一医院疼痛科,太原市030001 [5]浙江大学医学院附属第一医院疼痛科,杭州市310000 [6]青岛市市立医院疼痛科,青岛市266071 [7]吉林省人民医院疼痛科,长春市130021 [8]南方医科大学第十附属医院(东莞市人民医院)疼痛科,东莞市5523059 [9]重庆医科大学附属第一医院疼痛科,重庆市400016 [10]新疆医科大学第一附属医院疼痛科,乌鲁木齐市830054 [11]中日友好医院疼痛科,北京100029 [12]徐州医科大学附属医院疼痛科,徐州市221000

出　　处：《中华疼痛学杂志》2024年第3期348-361,共14页Chinese Journal Of Painology

摘　　要：胸脊神经根阻滞疗法是疼痛科基本的诊疗方法,主要用于胸背、胸前、肋间、腹部等部位的麻醉及疼痛治疗。本专家共识介绍了胸脊神经根的解剖,系统描述了胸脊神经根阻滞疗法的各种操作方法、常用药物、适应证、禁忌证和并发症。本专家共识推荐使用解剖定位法和影像学引导下进行胸脊神经根阻滞。文献和临床应用证实,胸脊神经根阻滞疗法是胸背部慢性疼痛性疾病的一种安全、有效的诊断和治疗方法。Thoracic spinal nerve root block therapy is a fundamental diagnostic and treatment method in the pain management.It is primarily used for anesthesia and pain management in regions such as the chest,back,intercostal space,and abdomen.This expert consensus overviews the anatomy of thoracic spinal nerve root,various procedural techniques,commonly utilized medications,indications,contraindications,and potential complications associated with the thoracic spinal nerve root block therapy.The consensus strongly advocates the use of anatomical localization and imaging guidance when performing this block therapy.Both literature and clinical evidence support the assertion that thoracic spinal nerve root block therapy is a safe and effective diagnostic and treatment approach for chronic pain disorders in the chest and the back.

关 键 词：脊神经根 胸椎 神经传导阻滞 疼痛 专家共识 

分 类 号：R402[医药卫生—临床医学]