蝶腭神经节阻滞治疗硬脊膜穿刺后头痛研究进展
Research advances of sphenopalatine ganglion block for treatment of post-dural puncture headache
吕洪伟 1李凯2
作者信息
- 1. 济南市第四人民医院麻醉科,济南 250031
- 2. 中国人民解放军联勤保障部队第九六○医院神经外科,济南 250031
- 折叠
摘要
硬脊膜穿刺后头痛(PDPH)是椎管内麻醉后常见的并发症,是指由于穿刺导致硬脊膜破损引起的低颅压性头痛.以往多采用自体硬膜外血补丁(EBP)治疗,但由于其潜在的并发症患者接受度不高.近年来有研究证明一种新的、简单且微创的手术——蝶腭神经节(SPG)阻滞可以有效缓解PDPH.文章回顾SPG阻滞的解剖基础、发展历史、治疗PDPH的机制及相关操作方法,以期为SPG阻滞治疗PDPH的应用提供参考.
Abstract
Post-dural puncture headache(PDPH)is a common complication after epidural anesthesia,which refers to the low cranial pressure headache caused by the puncture of the dura puncture.In the past,epidural blood patch(EBP)was often used for treat-ment,but due to its potential complications,the acceptance rate of patients was not high.In recent years,studies have proved that a new,simple,and minimally invasive operation--sphenopalatine ganglion(SPG)block can effectively relieve PDPH.This review summa-rizes the anatomy,development history,mechanism,and operation of SPG block in PDPH treatment to provide a reference for SPG block treatment of PDPH application.
关键词
蝶腭神经节阻滞/腰椎穿刺后头痛/硬膜外血补丁Key words
Sphenopalatine ganglion block/Post-lumbar puncture headache/Epidural blood patch引用本文复制引用
出版年
2024
NETL
NSTL
万方数据