A preliminary study of transversus abdominis plane combined with paracervical block in percutaneous microwave ablation of uterine fibroids
10.3760/cma.j.cn131148-20220209-00092
- VernacularTitle:腹横肌平面联合宫颈旁阻滞应用于子宫肌瘤经皮微波消融的初步研究
- Author:
Chunmei ZHANG
1
;
Juan LI
;
Lu WANG
;
Siqi ZHANG
;
Ying LIANG
;
Man LU
Author Information
1. 成都中医药大学医学与生命科学学院，成都 610072
- Keywords:
Ultrasound-guided;
Transversus abdominis plane block;
Paracervical block;
Uterine fibroids;
Percutaneous microwave ablation
- From:
Chinese Journal of Ultrasonography
2022;31(10):889-892
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the safety and efficacy of ultrasound-guided transversus abdominis plane (TAP) combined with paracervical block in percutaneous microwave ablation(PMWA) of uterine fibroids.Methods:Twenty-four patients with uterine fibroids who underwent PMWA after ultrasound-guided TAP combined with paracervical block in Sichuan Cancer Hospital from October 2021 to January 2022 were retrospectively analyzed. The success rate and adverse reactions of TAP combined with paracervical block were recorded, and the types and doses of rescue analgesics used during and after operation were recorded. The pain degree of patients was recorded by NRS(numeric rating scales) during and 30 minutes, 1 hour, 2 hours, 4 hours, 6 hours, 12 hours and 24 hours after operation, and the satisfaction of patients was recorded.Results:The success rate of TAP combined with paracervical block was 100%, and there were no adverse reactions during and after operation. During the operation, 5 patients(20.83%) had mild pain, which was tolerable and did not need intervention, 4 patients(16.67%) presented with moderate pain, and the NRS scores were 4, 4, 5 and 6 respectively, the symptoms were relieved after rescue analgesia. All patients completed one ablation, no ablation failure or secondary ablation. Some patients had mild pain after operation, which could be tolerated without intervention, and all were relieved naturally within 6 hours. All patients returned home on the day of ablation and were 100% satisfied with the analgesic effect.Conclusions:Ultrasound-guided TAP combined with paracervical block in PMWA of uterine fibroids is safe and effective, which is worthy of clinical promotion.
