超声在椎管内麻醉中的应用  

Application of Ultrasonography in Central Neuraxial Blockade

作　　者：耿姣[1] 李民[1] 

机构地区：[1]北京大学第三医院麻醉科,北京100191

出　　处：《中国微创外科杂志》2015年第8期749-751,共3页Chinese Journal of Minimally Invasive Surgery

摘　　要：近年来,超声在区域麻醉尤其是外周神经阻滞方面得到广泛应用,超声引导椎管内穿刺也取得了一定进展。既往研究表明,穿刺前超声检查能够提供正确的椎间隙、脊柱中线、最佳穿刺点、适当的穿刺角度以及椎管到皮肤深度等方面的信息。本文介绍椎管的超声扫查方法及图像解读,以及超声(包括穿刺前扫查定位和超声实时引导穿刺)在临床椎管内麻醉中的应用价值。In recent years, ultrasound guidance has been widely used in local anesthesia, particularly in peripheral nerve blockage. Ultrasound guided neuraxial blockage is also making progress. Previous studies have shown that pre-puncture ultrasound scanning could provide useful information on the correct intervertebral interspace, the midline of the spine, the optimal puncture point, the appropriate angle for needle insertion, and the distance from skin to the spinal canal. In this review, the ultrasonographic techniques and image analysis, as well as its clinical use, including pre-puncture scanning and real-time guidance for spinal and epidural anesthesia, were summarized.

关 键 词：超声 椎管内麻醉 

分 类 号：R614.4[医药卫生—麻醉学]