预防乳房切除术后疼痛综合征：关于围手术期干预措施的最新文献综述。

IF 4.7 2区医学 Q1 ONCOLOGY Current Oncology Reports Pub Date : 2024-08-01 Epub Date: 2024-05-30 DOI:10.1007/s11912-024-01553-2

Rachel R Wu, Simon Katz, Jing Wang, Lisa V Doan

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引用次数: 0

摘要

审查目的：多达 60% 的乳腺癌患者在术后三个月或更长时间内仍会感到疼痛，其中 15% 至 25% 的患者报告有中度至重度疼痛。乳房切除术后疼痛综合征（PMPS）给患者带来了沉重的负担。我们回顾了近期有关围手术期干预措施以预防 PMPS 发生率和严重程度的研究：我们回顾了近期关于药物和区域麻醉干预的研究。在纳入的 23 项研究中，仅有 9 项报告了 PMPS 发生率和/或严重程度的显著改善，有时类似干预措施的结果也不尽相同。预防 PMPS 的证据不一。有必要进一步研究剂量变化的影响。此外，用于预防 PMPS 的前景看好的新干预措施，如肋间神经冷冻神经溶解术和星状神经节阻滞术，也需要进行确证研究。

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Prevention of Post-Mastectomy Pain Syndrome: A Review of Recent Literature on Perioperative Interventions.

Purpose of review: Up to 60% of breast cancer patients continue to experience pain three months or more after surgery, with 15 to 25% reporting moderate to severe pain. Post-mastectomy pain syndrome (PMPS) places a high burden on patients. We reviewed recent studies on perioperative interventions to prevent PMPS incidence and severity.

Recent findings: Recent studies on pharmacologic and regional anesthetic interventions were reviewed. Only nine of the twenty-three studies included reported a significant improvement in PMPS incidence and/or severity, sometimes with mixed results for similar interventions. Evidence for prevention of PMPS is mixed. Further investigation of impact of variations in dosing is warranted. In addition, promising newer interventions for prevention of PMPS such as cryoneurolysis of intercostal nerves and stellate ganglion block need confirmatory studies.

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来源期刊

Current Oncology Reports ONCOLOGY-

CiteScore

8.50

自引率

0.00%

发文量

187

审稿时长

6-12 weeks

期刊介绍： This journal aims to review the most important, recently published clinical findings in the field of oncology. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care of those affected by cancer. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as cancer prevention, leukemia, melanoma, neuro-oncology, and palliative medicine. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.