超声引导下菱形肌-肋间肌-前锯肌平面阻滞的研究进展  

Research Progress of Ultrasound-guided Rhomboid Intercostal and Sub-serratus Plane Block

作　　者：唐志清[1] 王刚 赵文涛 庞宏宣[1] 王永旺 TANG Zhiqing;WANG Gang;ZHAO Wentao;PANG Hongxuan;WANG Yongwang(Affiliated Hospital of Guilin Medical University,Guilin 541001,China;不详)

机构地区：[1]桂林医学院附属医院,广西桂林541001

出　　处：《中国医学创新》2023年第21期179-184,共6页Medical Innovation of China

摘　　要：菱形肌-肋间肌-前锯肌平面阻滞是一种新型的区域阻滞技术,可阻滞T_(2)~T_(9)肋间神经的外侧皮支,用于多种临床情况下胸壁和上腹部手术后的镇痛管理。超声引导下平面神经阻滞具有可视化、定位准确、并发症少、麻醉效果确切、易于学习、操作简单等优点,逐渐被用于临床。本文回顾了近几年来国内外对超声引导下菱形肌-肋间肌-前锯肌平面阻滞的研究,对其平面阻滞的解剖学结构、穿刺层面及入路、临床上不同手术术后镇痛的应用及使用药物种类与注射容量进行综述,为其临床围手术期镇痛提供参考。Rhomboid intercostal and sub-serratus plane block is a novel regional block technique,which can block the lateral cutaneous branch of the T_(2)-T_(9) intercostal nerve,and is used for analgesic management after chest wall and upper abdominal surgery in various clinical situations.Ultrasound-guided plane nerve block has the advantages of visualization,accurate localization,few complications,accurate anesthetic effect,easy to learn,simple operation,etc.,and has been gradually used in clinic.This paper reviews the studies on the ultrasound-guided rhomboid intercostal and sub-serratus plane block in recent years at home and abroad,and reviews the anatomical structure,stab level and approach,the application of postoperative analgesia in different surgeries in clinic,the type and injection volume of drugs used,so as to provide references for perioperative period analgesia.

关 键 词：菱形肌-肋间肌-前锯肌平面阻滞 术后镇痛 超声引导 

分 类 号：R614[医药卫生—麻醉学]