超声引导下胸腰筋膜平面阻滞的研究进展  

Research advances of ultrasound-guided thoracolumbar interfascial plane block

作　　者：高锐针 占乐云[1] 周密[1] Gao Ruizhen;Zhan Leyun;Zhou Mi(Department of Anesthesiology,the People's Hospital of China Three Gorges University(the First People's Hospital of Yichang City),Yichang 443000,China)

机构地区：[1]三峡大学人民医院(宜昌市第一人民医院)麻醉科,宜昌443000

出　　处：《国际麻醉学与复苏杂志》2022年第1期67-71,共5页International Journal of Anesthesiology and Resuscitation

基　　金：宜昌市医学拔尖人才培养工程(2017年度)。

摘　　要：超声引导下胸腰筋膜平面(thoracolumbar interfascial plane,TLIP)阻滞是通过阻滞脊神经后支为腰背部疼痛进行镇痛的一项新技术。文章描述了TLIP阻滞的相关解剖结构,两种不同入路的操作方法及比较,在临床上的应用情况,相关并发症以及与其他镇痛方法的比较情况。TLIP阻滞操作简便、阻滞范围广、禁忌证与并发症相对较少,为腰椎手术提供良好的围手术期镇痛效果。TLIP阻滞的临床应用仍需进一步研究,为其在临床上推广提供理论依据。Ultrasound-guided thoracolumbar interfascial plane(TLIP)block is a new technology that provides analgesia effect on the lower back by blocking the dorsal rami of thoracolumbar nerves.This review summarizes the anatomical basis of TLIP block,a comparison of two entry routes for TLIP block,the clinical application of TLIP block,and complications of TLIP block as well as its advantages and disadvantages compared with other analgesic methods for lumbar analgesia.This technology has been used in perioperative analgesia of lumbar spine surgery due to its simple operation,wide range of analgesia,fewer contraindications,and complications.To provide evidence for clinical promotion,the clinical application of TLIP block still needs to be further explored.

关 键 词：胸腰筋膜平面阻滞 超声引导 镇痛 

分 类 号：R614[医药卫生—麻醉学]