肋间神经解剖及其超声引导阻滞技术的研究进展
Research progress on sacral plexus anatomy and ultrasound-guided block technique
邹锋 1肖静 2陈军 1谢芳 1范坤1
作者信息
- 1. 上海交通大学医学院附属第六人民医院麻醉科,上海 201306
- 2. 上海交通大学医学院附属第六人民医院妇产科,上海 201306
- 折叠
摘要
肋间神经阻滞技术是临床常用于胸腹部手术麻醉或镇痛的技术.近年来,超声引导以其安全、实时、动态、可视化的独特优势广泛应用于临床,推动了肋间神经阻滞技术的发展.目前,临床上出现了超声引导肋间神经阻滞技术、肋间神经前皮支阻滞技术的应用.文章主要综述了超声引导肋间神经阻滞技术的国内外研究现状,肋间神经的解剖基础,超声引导肋间神经阻滞技术的临床应用范围、局部麻醉药用量、并发症及禁忌证,各种入路的具体操作方法,为临床麻醉及疼痛诊疗提供参考.
Abstract
Intercostal nerve block is a commonly used technique for anesthesia and pain management during thoracic and ab-dominal surgery.In recent years,ultrasound guidance has become increasingly used in clinical settings due to its unique advantages of safety,real-time and dynamic detection,and visualization,which promotes the development of intercostal nerve block.At present,the application of ultrasound-guided intercostal nerve block and anterior cutaneous branch of the block emerges in clinical practice.This article mainly reviews the current research on ultrasound-guided intercostal nerve block at home and aboard,the anatomical basis of in-tercostal nerves,the clinical application range of ultrasound-guided intercostal nerve block,the dosages of local anesthetics,complica-tions and contraindications,and specific surgical techniques for each different approach.These findings will provide reference for clini-cal anesthesia and pain diagnosis and treatment.
关键词
超声引导/肋间神经阻滞/麻醉/镇痛Key words
Ultrasound-guided/Intercostal nerve block/Anesthesia/Analgesia引用本文复制引用
基金项目
上海市第六人民医院院级项目(DY2019004)
出版年
2024
NETL
NSTL
万方数据