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超声引导下外周神经干阻滞技术:一种逐渐登上临床麻醉舞台的新方法。

Ultrasound-guided peripheral trunk block technique: A new approach gradually stepping onto the stage of clinical anesthesia.

作者信息

Liu De-Xing, Zhu Zhao-Qiong

机构信息

Soochow University Medical College Suzhou China.

Department of Anesthesiology Affiliated Hospital of Zunyi Medical University Zunyi Guizhou China.

出版信息

Ibrain. 2021 Sep 28;7(3):211-226. doi: 10.1002/j.2769-2795.2021.tb00085.x. eCollection 2021 Sep.

Abstract

In recent years, with the continuous development and validation of new visualization, the ultrasound-guided peripheral trunk block becomes more mature and has a more extensive and broader implementation scope in clinical anesthesia. Based on this, we reviewed and summarized the literature on peripheral trunk nerve block include: paraspinal block, retrolaminar block, plane block of erect spinal muscle, transverse convex to pleural midpoint block, block of the trapezius muscle and anterior serratus muscle, anterior serratus muscle block, thoracic nerve block, abdominal transverse fascia block, type-I block of quadratus lumborum, type-II block of quadratus lumborum, type-III block of quadratus lumborum, block of the sheath of rectus abdominis. This paper reviews the ultrasound-guided peripheral trunk block technique, including development history, anatomic basis, implementation methods, advantages and disadvantages of nerve block technique, and describes the bottleneck and difficulties of nerve block technique at present.

摘要

近年来,随着新可视化技术的不断发展与验证,超声引导下外周躯干阻滞日益成熟,在临床麻醉中的应用范围更加广泛。基于此,我们回顾并总结了有关外周躯干神经阻滞的文献,包括:椎旁阻滞、椎板后阻滞、竖脊肌平面阻滞、横突向胸膜中点阻滞、斜方肌和前锯肌阻滞、前锯肌阻滞、胸神经阻滞、腹横筋膜阻滞、腰方肌I型阻滞、腰方肌II型阻滞、腰方肌III型阻滞、腹直肌鞘阻滞。本文回顾了超声引导下外周躯干阻滞技术,包括发展历史、解剖学基础、实施方法、神经阻滞技术的优缺点,并阐述了目前神经阻滞技术的瓶颈与难点。

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本文引用的文献

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Serratus anterior plane block: Anatomical landmark-guided technique.
Saudi J Anaesth. 2020 Jan-Mar;14(1):134-135. doi: 10.4103/sja.SJA_540_19. Epub 2020 Jan 6.

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