腹腔镜胆囊切除术术后肩痛的研究进展
Research Progress on Postoperative Shoulder Pain after Laparoscopic Cholecystectomy
摘要: 腹腔镜胆囊切除术手术后常出现腹腔镜后肩痛(post-laparoscopic shoulder pain, PLSP)，多在术后前两天出现，据统计，在接受各类腔镜手术的患者中，其发生率可达35%~80%，且以右侧疼痛更为显著。部分患者会出现剧烈疼痛，不仅限制自身活动能力，还可能延长术后恢复进程。目前关于PLSP的发病机制主要存在两种学说，且针对这一症状，临床已开展多方面干预措施的研究，包括神经阻滞、术后康复训练、药物治疗及中医疗法等。本文将对PLSP的发生机制及干预方法进行综述，旨在为减轻患者疼痛程度、降低术后肩痛发生率、加速患者术后康复提供参考。
Abstract: Post-laparoscopic shoulder pain (PLSP) often occurs after laparoscopic cholecystectomy, mostly within the first two days postoperatively. Statistics show that its incidence can reach 35% to 80% among patients undergoing various laparoscopic surgeries, with right-sided pain being more prominent. Some patients may suffer from severe pain, which not only limits their mobility but also may prolong the postoperative recovery process. At present, there are mainly two theories regarding the pathogenesis of PLSP, and for this symptom, clinical research has been carried out on various intervention measures, including nerve block, postoperative rehabilitation training, drug therapy, and traditional Chinese medicine therapy. This article will review the pathogenesis and intervention methods of PLSP, aiming to provide a reference for alleviating patients’ pain, reducing the incidence of postoperative shoulder pain, and accelerating their postoperative recovery.
文章引用：高一敏. 腹腔镜胆囊切除术术后肩痛的研究进展[J]. 临床医学进展, 2025, 15(9): 1350-1355. https://doi.org/10.12677/acm.2025.1592630

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