关节镜下腕关节门部位局部麻醉，不使用止血带和镇静剂

Wrist Arthroscopy Under Portal Site Local Anesthesia Without Tourniquet and Sedation.

作者信息

Koo Siu-Cheong Jeffrey Justin, Ho Pak-Cheong

机构信息

Department of Orthoapedic and Traumatology, Alice Ho Miu Ling Nethersole Hospital, 11 Chuen On Road, Tai Po, NT, Hong Kong SAR, China.

Division of Hand and Microsurgery, Department of Orthopaedic and Traumatology, Prince of Wales Hospital, Chinese University of Hong Kong, 5F, Lui Che Woo Clinical Sciences Building, 30-32 Ngan Shing Street, Shatin, NT, Hong Kong SAR, China.

出版信息

Hand Clin. 2017 Nov;33(4):585-591. doi: 10.1016/j.hcl.2017.06.001.

DOI:10.1016/j.hcl.2017.06.001

PMID:28991571

Abstract

We had developed the technique of portal site local anaesthesia (PSLA) for wrist arthroscopy. Two percent lidocaine with 1:200,000 epinephrine is injected through a 25G needle to various portal sites. The radiocarpal joint is then distended with saline injection and portal is created with transverse superficial skin incision followed by dilation with curved hemostat. The patient is neither sedated, nor under general or regional anaesthesia. Tourniquet is not routinely used. PSLA can achieve satisfactory comfort level in 88% of our 111 patients without any complication. In well-selected patients, it is a safe and comfortable procedure.

摘要

我们已经研发出用于腕关节镜检查的关节镜入口局部麻醉（PSLA）技术。通过25G针头将含1:200,000肾上腺素的2%利多卡因注射到各个关节镜入口部位。然后通过注射生理盐水使桡腕关节扩张，经横向浅表皮肤切口建立入口，随后用弯止血钳进行扩张。患者既不使用镇静剂，也不接受全身麻醉或区域麻醉。通常不使用止血带。在我们的111例患者中，PSLA能使88%的患者达到满意的舒适度，且无任何并发症。对于精心挑选的患者而言，这是一种安全且舒适的手术。