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超声引导下斜肋下腹横肌平面阻滞联合超声引导下腹直肌鞘阻滞用于腹壁手术麻醉

Ultrasonography-Guided Oblique Subcostal Transversus Abdominis Plane Block in Combination with Ultrasonography-Guided Rectus Sheath Block for Anaesthesia in Abdominal Wall Surgery.

作者信息

Gürbüz Hande

机构信息

Department of Anaesthesiology and Reanimation, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey.

出版信息

Turk J Anaesthesiol Reanim. 2021 Feb;49(1):63-66. doi: 10.5152/TJAR.2020.156. Epub 2020 Dec 24.

DOI:10.5152/TJAR.2020.156
PMID:33718908
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7932703/
Abstract

Abdominal wall blocks provide considerable analgesia for relieving post-operative pain. Although they have been performed generally for post-operative pain management, abdominal wall blocks can be used as the principal anaesthesia method in certain cases. In this study, the case of a 47-year-old male patient who underwent surgical excisional biopsy for 2 vague intramuscular mass lesions (was within the rectus abdominis muscle and the other was within the transversus abdominis muscle) was presented. Ultrasonography (USG)-guided oblique subcostal transversus abdominis plane block in combination with USG-guided rectus sheath block was performed successfully as anaesthesia for the abdominal wall surgery. The intervention was performed fully under regional anaesthesia without any need for deep sedation or general anaesthesia.

摘要

腹壁阻滞可为缓解术后疼痛提供显著的镇痛效果。尽管腹壁阻滞通常用于术后疼痛管理，但在某些情况下，它也可作为主要的麻醉方法。在本研究中，介绍了一名47岁男性患者的病例，该患者因2个模糊的肌内肿块病变（一个位于腹直肌内，另一个位于腹横肌内）接受了手术切除活检。成功实施了超声引导下斜肋下腹横肌平面阻滞联合超声引导下腹直肌鞘阻滞，作为腹壁手术的麻醉方法。该干预完全在区域麻醉下进行，无需任何深度镇静或全身麻醉。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fb3/7932703/25f901bdfbed/TJAR-49-1-63-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fb3/7932703/25f901bdfbed/TJAR-49-1-63-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fb3/7932703/25f901bdfbed/TJAR-49-1-63-g02.jpg

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Abdominal Surgery With Bilateral Rectus Sheath Block: A Case Report.双侧腹直肌鞘阻滞下的腹部手术：一例报告
A A Pract. 2019 Oct 1;13(7):278-280. doi: 10.1213/XAA.0000000000001055.
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Evaluation of Ultrasound-Guided Erector Spinae Plane Block and Oblique Subcostal Transversus Abdominis Plane Block in Laparoscopic Cholecystectomy: Randomized, Controlled, Prospective Study.超声引导竖脊肌平面阻滞与斜肋下腹横肌平面阻滞在腹腔镜胆囊切除术中的评估：随机、对照、前瞻性研究
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Ultrasound-guided erector spinae plane block versus oblique subcostal transversus abdominis plane block for postoperative analgesia of adult patients undergoing laparoscopic cholecystectomy: Randomized, controlled trial.
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J Clin Anesth. 2019 Nov;57:31-36. doi: 10.1016/j.jclinane.2019.03.012. Epub 2019 Mar 6.
4
Selective Spinal Nerve Block in Ilioinguinal, Iliohypogastric and Genitofemoral Neuralgia.选择性脊神经阻滞治疗髂腹股沟神经、髂腹下神经和生殖股神经痛
Turk Neurosurg. 2019;29(4):530-237. doi: 10.5137/1019-5149.JTN.23990-18.1.
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Research on the efficacy of the rectus sheath block method.腹直肌鞘阻滞法的疗效研究。
Agri. 2018 Oct;30(4):183-188. doi: 10.5505/agri.2018.86619.
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Ultrasound-Guided Oblique Sub-Costal Transversus Abdominis Plane Block as the Principal Anesthesia Technique in Peritoneal Dialysis Catheter Implantation and Plasma Ropivacaine Concentration Evaluation in ESRD Patients: A Prospective, Randomized, Double-Blinded, Controlled Trial.超声引导下斜肋下腹横肌平面阻滞作为腹膜透析导管植入术的主要麻醉技术及终末期肾病患者血浆罗哌卡因浓度评估：一项前瞻性、随机、双盲、对照试验
Perit Dial Int. 2018 May-Jun;38(3):192-199. doi: 10.3747/pdi.2017.00222.
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Management of Postoperative Pain: A Clinical Practice Guideline From the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists' Committee on Regional Anesthesia, Executive Committee, and Administrative Council.术后疼痛管理：美国疼痛学会、美国区域麻醉与疼痛医学学会以及美国麻醉医师协会区域麻醉委员会、执行委员会和行政委员会的临床实践指南
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