de Visme V, Picart F, Le Jouan R, Le Grand A, Savry C, Ek F
Département d'anesthésie-réanimation chirurgicale, CHU, Brest, France.
Ann Fr Anesth Reanim. 1997;16(8):982-4. doi: 10.1016/s0750-7658(97)82150-8.
We describe an original method to block the lateral cutaneous rami of the subcostal and iliohypogastric nerves or'iliac crest point block'to complete plexular block of the lower limb for hip surgery. The local anaesthetic is injected in front of an osterofibrous orifice of the iliac crest. In nine cases out of ten, the lateral cutaneous rami of the iliohypogastric nerve pass through this orifice and in one case out of ten, it is the one arising from the subcostal nerve. This complementary block allows the surgical incision at the level of the great trochanter.
我们描述了一种用于阻断肋下神经和髂腹下神经外侧皮支的原创方法，即“髂嵴点阻滞”，以完成用于髋关节手术的下肢丛状阻滞。局部麻醉剂注射在髂嵴的骨纤维孔前方。十例中有九例，髂腹下神经外侧皮支穿过此孔，十例中有一例，是由肋下神经发出的皮支穿过此孔。这种补充性阻滞使得能够在大转子水平进行手术切口。
