超声引导下肋间臂神经阻滞的研究进展  

Research progress of ultrasound-guided intercostobrachial nerve block

作　　者：陈默曦[1] 陈勇柱[1] 徐成 王爱忠[1] 许涛[1] CHEN Moxi;CHEN Yongzhu;XU Cheng;WANG Aizhong;XU Tao(Department of Anesthesiology,Shanghai Jiao Tong University Affiliated Sixth People's Hospital,Shanghai 200233,China)

机构地区：[1]上海交通大学附属第六人民医院麻醉科,200233

出　　处：《临床麻醉学杂志》2022年第5期540-543,共4页Journal of Clinical Anesthesiology

基　　金：2020年度上海市第六人民医院院级科学研究基金(ynts202005)。

摘　　要：肋间臂神经阻滞可为上臂内后侧区、腋区的手术提供术中及术后镇痛。肋间臂神经常起源于第2胸神经,其解剖变异较大,终止于上臂内后侧、腋底及侧胸壁。超声引导下肋间臂神经阻滞的方法主要有经胸壁阻滞和经腋区阻滞两种。肋间臂神经与乳腺手术后疼痛和感觉异常相关。臂丛联合肋间臂神经阻滞能为上肢手术提供更全面的镇痛。本文从肋间臂神经的解剖、超声引导下肋间臂神经阻滞的方法及临床意义等方面的研究进展作一综述。Intercostobrachial nerve can provide intraoperative and postoperative analgesia for the operation of medial posterior area of upper arm and axillary area.Intercostobrachial nerve often originate from the second thoracic nerve,and their branches vary greatly,ending in the medial and posterior side of the upper arm,axillary floor and lateral chest wall.There are two main methods of ultrasound-guided intercostal brachial nerve block,transthoracic block and transaxillary block.Intercostobrachial nerve is relevant to the pain and paresthesia after breast surgery.Brachial plexus combined with intercostobrachial nerve block can provide more comprehensive analgesia for upper limb surgery.This paper reviews the research progress in the anatomy of intercostobrachial nerve,the method and clinical significance of ultrasound-guided intercostobrachial nerve block.

关 键 词：肋间臂神经 超声 神经阻滞 

分 类 号：R614[医药卫生—麻醉学]