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Application of paravertebral block under direct thoracoscopic vision in analgesia for single-port thoracoscopic lung cancer surgery
PANG Jinghua, SONG Chengjun
2025, 52 (08):
54-57.
A total of 100 patients who underwent single-port thoracoscopic lung cancer surgery at the Department of Thoracic Surgery,Fenghua District People's Hospital,Ningbo City from September 1,2022 to August 31,2024 were selected and randomly divided into a thoracoscopic direct vision paravertebral nerve block group (n=50) and a control group (n=50) using a random number table. The analgesic effect of paravertebral nerve block under direct thoracoscopic vision on patients undergoing single-port thoracoscopic lung cancer surgery was observed. Before the end of the surgery,the paravertebral nerve block was performed under direct thoracoscopic vision in the paravertebral nerve block group (T4-T6 interspace),while no intervention was made in the control group. The postoperative VAS scores for rest and activity were recorded at 6,12,24,48,and 72 hours in both groups;adverse reactions related to analgesia and the use of additional analgesic drugs were also observed;clinical prognosis indicators,including postoperative pulmonary complications,were evaluated. Compared with the control group,the paravertebral nerve block group showed significant reductions in VAS scores for rest and activity at 6,12,24,48,and 72 hours after surgery,with all differences being statistically significant. Paravertebral nerve block technology under direct thoracoscopic vision,through precise localization and direct action on the source of pain,can significantly reduce postoperative pain in patients undergoing single-port thoracoscopic lung cancer surgery,improve patient comfort,and facilitate postoperative recovery.
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