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[腹横肌平面阻滞与腹壁阻滞]

[TAP block and blocks of the abdominal wall].

作者信息

Beloeil H, Zetlaoui P J

机构信息

Département d'anesthésie-réanimation, hôpital Bicêtre, AP-HP, université Paris-Sud, 78 avenue du Général-Leclerc, Le Kremlin-Bicêtre, France.

出版信息

Ann Fr Anesth Reanim. 2011 Feb;30(2):141-6. doi: 10.1016/j.annfar.2010.12.015. Epub 2011 Feb 1.

Abstract

Since the revolution of ultrasound in regional anesthesia, new techniques have arisen. The "transversus abdominis plane" block or TAP block is one of them. The benefits of a TAP block for postoperative analgesia have been shown mostly after laparotomy. Because this block seems to be technically easy, many anesthesiologists have quickly adopted it. However, the TAP block presents some technical specificities and knowledge of the anatomy is required. This article reviews the anatomy of the abdominal wall, the different blocks, the indications, the complications, and highlights the many unanswered questions left. This review proposes a new vision of the abdominal wall blocks based on a new understanding of the anatomy of the abdominal wall associated with an ultrasound technique.

摘要

自从超声在区域麻醉领域引发变革以来,新的技术不断涌现。“腹横肌平面”阻滞(TAP阻滞)就是其中之一。TAP阻滞用于术后镇痛的益处大多在剖腹手术后得到证实。由于这种阻滞在技术上似乎较为简单,许多麻醉医生很快就采用了它。然而,TAP阻滞存在一些技术特点,需要了解相关解剖知识。本文回顾了腹壁的解剖结构、不同的阻滞方法、适应证、并发症,并着重指出了诸多尚未解决的问题。本综述基于对腹壁解剖结构的新认识以及超声技术,提出了对腹壁阻滞的新见解。

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