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5例患者经软骨膜入路改良胸腹神经阻滞（M-TAPA）的临床经验。皮节评估及不同剂量的应用：病例系列及文献综述

Clinical Experience for Modified Thoracoabdominal Nerve Block Through Perichondrial Approach (M-TAPA) in Five Patients. Dermatomal Evaluation and Application of Different Volumes: A Case Series and Review of Literature.

作者信息

Çiftçi Bahadır, Güngör Hande, Alver Selçuk, Akın Ayşe Nurmen, Özdenkaya Yaşar, Tulgar Serkan

机构信息

Department of Anaesthesiology and Reanimation, İstanbul Medipol University, Mega Medipol University Hospital, İstanbul, Turkey.

Department of General Surgery, İstanbul Medipol University, Mega Medipol University Hospital, İstanbul, Turkey.

出版信息

Turk J Anaesthesiol Reanim. 2023 Aug 18;51(4):354-357. doi: 10.4274/TJAR.2022.221042.

DOI:10.4274/TJAR.2022.221042
PMID:37587679
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10440489/
Abstract

Thoracoabdominal nerves block through perichondrial approach (TAPA) is a novel block and provides abdominal analgesia. TAPA block targets the both anterior and the lateral branches of the thoracoabdominal nerves. Modified-TAPA (M-TAPA) was defined due to the need for blocking certain dermatomes depending on the surgical incision sites. In the literature, the knowledge about the efficiency and dermatomal coverage of M-TAPA is limited. In this case series, we want to report our experiences with this issue.

摘要

经软骨膜途径胸腹部神经阻滞（TAPA）是一种新型阻滞方法，可提供腹部镇痛。TAPA阻滞针对胸腹部神经的前支和外侧支。由于需要根据手术切口部位阻滞特定皮节，因此定义了改良TAPA（M-TAPA）。在文献中，关于M-TAPA的有效性和皮节覆盖范围的知识有限。在本病例系列中，我们想报告我们在这个问题上的经验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/290e/10440489/1a8e76742054/TJAR-51-354-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/290e/10440489/e641ff28a1ea/TJAR-51-354-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/290e/10440489/b4050f9f7ed5/TJAR-51-354-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/290e/10440489/1a8e76742054/TJAR-51-354-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/290e/10440489/e641ff28a1ea/TJAR-51-354-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/290e/10440489/b4050f9f7ed5/TJAR-51-354-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/290e/10440489/1a8e76742054/TJAR-51-354-g3.jpg

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本文引用的文献

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Ultrasound-guided bilateral modified-thoracoabdominal nerve block through a perichondrial approach (M-TAPA) in patients undergoing laparoscopic cholecystectomy: a randomized double-blind controlled trial.超声引导下经软骨膜入路双侧改良胸腹神经阻滞（M-TAPA）在腹腔镜胆囊切除术中的应用：一项随机双盲对照试验。
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2
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Can J Anaesth. 2022 Oct;69(10):1203-1210. doi: 10.1007/s12630-022-02310-4. Epub 2022 Aug 23.
3
Effects of Modified Thoracoabdominal Nerves Block Through Pericondrial Approach on Postoperative Pulmonary Functions in Laparoscopic Bariatric Surgery: A Randomized Controlled Study.
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Obes Surg. 2025 May 21. doi: 10.1007/s11695-025-07908-3.
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