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腰方肌阻滞作为髋关节手术中腰丛阻滞的替代方法:2例报告

Quadratus Lumborum Block as an Alternative to Lumbar Plexus Block for Hip Surgery: A Report of 2 Cases.

作者信息

La Colla Luca, Ben-David Bruce, Merman Rita

机构信息

From the Department of Anesthesiology, University of Pittsburgh (UPMC) Medical Center, Pittsburgh, Pennsylvania.

出版信息

A A Case Rep. 2017 Jan 1;8(1):4-6. doi: 10.1213/XAA.0000000000000406.

Abstract

Quadratus lumborum (QL) block was first described several years ago, but few articles have been published regarding this technique, for the most part case series involving abdominal surgery. We report 2 cases of prolonged, extensive block of thoracic and lumbar dermatomes after QL block in patients undergoing different hip surgery procedures for whom QL block was used in place of lumbar plexus block. Further prospective studies comparing these 2 techniques are necessary to better characterize the role of QL block in hip surgery.

摘要

腰方肌(QL)阻滞在数年前首次被描述,但关于该技术的文章发表较少,大部分是涉及腹部手术的病例系列。我们报告了2例在接受不同髋关节手术的患者中,使用QL阻滞代替腰丛阻滞时出现胸腰段皮节长期广泛阻滞的病例。有必要进行进一步的前瞻性研究来比较这两种技术,以便更好地明确QL阻滞在髋关节手术中的作用。

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