腰丛阻滞相关解剖结构的观测  

Observation on the structures related to the blocking of lumbar plexus

作　　者：邓兆宏[1] 陈龙菊[1] 王先义[2] 范吉云[1] 郭国荣[1] 李红霞[1] 李珍[1] 孙占锋[1] 

机构地区：[1]郧阳医学院解剖学教研室,湖北省十堰442000 [2]郧阳医学院医疗保健中心

出　　处：《中国康复医学杂志》2010年第1期19-22,共4页Chinese Journal of Rehabilitation Medicine

基　　金：郧阳医学院药护学院研究课题([2008]20)

摘　　要：目的:对腰丛阻滞相关结构及其毗邻关系进行解剖观测,为腰丛神经阻滞和预防并发症的发生提供解剖学基础。方法:对70侧成人尸体腰部与腰丛阻滞相关结构及其毗邻关系进行了解剖观测。结果:腰丛穿刺进针深度:穿刺点为髂嵴连线与背正中交点下3cm,在腰椎棘突旁开4—5cm,皮肤至腰丛的距离,左侧为(59.6±0.7)(51.4—72.6)mm,右侧为(59.9±0.6)(53.3—71.4)mm。结论:在进行腰丛阻滞时进针深度可以上述数据为解剖学依据,应注意误伤及腹主动脉、腰动脉、下腔静脉、椎管等。Objective ：To provide anatomical basis for the blocking of lumbar plexus and prevention of its complications. Method：The structures of lumbus and lumbar plexus and their neighboring relationships were observed in dissected 70 sides of adult corpses. Result：The depth of puncture： The position of puncture was 3cm lower to the cross point of the line between two iliac crests and dorsal middle line and 4-5cm lateral from the lumbar spinous process, the distance from skin to lumbar plexus were （59.6±0.7）（51.4-72.6）mm on the left side and （59.9±0.6）（53.3-71.4）mm on the right side respectively. Conclusion： This study provide reference data for the depth of puncture needle and anatomical basis for the blocking of lumbar plexus. In the course of puncture, attention should be paid to avoid the accidental injuries to abdominal aorta, lumbar artery,inferior vena cava,vertebral canal and kidney etc.

关 键 词：腰丛 神经阻滞 解剖学 

分 类 号：R614[医药卫生—麻醉学]