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已发表论文
竖脊肌平面阻滞在慢性疼痛管理中的应用：从解剖学机制到临床创新
Authors Du S, Xie Q, Liang T, Feng Y
Received 22 June 2025
Accepted for publication 14 December 2025
Published 26 December 2025 Volume 2025:18 Pages 7139—7148
DOI https://doi.org/10.2147/JPR.S548853
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Andrea Tinnirello
Shengfang Du, Qianqian Xie, Tingting Liang, YinHua Feng
Department of Anesthesiology, The Second Hospital of Lan Zhou University, Lanzhou, People’s Republic of China
Correspondence: Shengfang Du, Email 793065701@qq.com
Abstract: Erector Spinae Plane Block (ESPB) is a fascial plane-based regional analgesia technique that involves injecting local anesthetics between the deep aspect of the erector spinae muscle and the transverse processes of the vertebrae. This blocks the dorsal rami of spinal nerves, thereby achieving multi-segmental analgesia. With the widespread adoption of ultrasound guidance, ESPB has gained extensive application in acute and chronic pain management due to its relative simplicity and high safety profile. However, its systematic evaluation and value positioning in chronic pain management remain to be clarified. This article aims to provide a comprehensive overview of ESPB, spanning from its anatomical basis to clinical innovations. It focuses on reviewing its mechanisms of action, clinical efficacy, technical advantages, and limitations in managing chronic pain (including cancer-related pain and neuropathic pain). Future research directions are also discussed to inform clinical practice and related studies.
Keywords: erector spinae plane block, chronic pain, anatomical mechanism, clinical application, technological innovation
Department of Anesthesiology, The Second Hospital of Lan Zhou University, Lanzhou, People’s Republic of China
Correspondence: Shengfang Du, Email 793065701@qq.com
Abstract: Erector Spinae Plane Block (ESPB) is a fascial plane-based regional analgesia technique that involves injecting local anesthetics between the deep aspect of the erector spinae muscle and the transverse processes of the vertebrae. This blocks the dorsal rami of spinal nerves, thereby achieving multi-segmental analgesia. With the widespread adoption of ultrasound guidance, ESPB has gained extensive application in acute and chronic pain management due to its relative simplicity and high safety profile. However, its systematic evaluation and value positioning in chronic pain management remain to be clarified. This article aims to provide a comprehensive overview of ESPB, spanning from its anatomical basis to clinical innovations. It focuses on reviewing its mechanisms of action, clinical efficacy, technical advantages, and limitations in managing chronic pain (including cancer-related pain and neuropathic pain). Future research directions are also discussed to inform clinical practice and related studies.
Keywords: erector spinae plane block, chronic pain, anatomical mechanism, clinical application, technological innovation