臀上皮神经阻滞疗法中国专家共识(2024版)  

Expert consensus of superior cluneal nerve block therapy in China(2024 edition)

作　　者：臀上皮神经阻滞疗法中国专家共识编写专家组 彭志友[2] 冯鹏玖 何睿林[4] 江昊[5] 刘广召[6] 罗芳[7] 马珂 申文 万丽[10] 王德全[11] 杨晓秋[12] 张咸伟[13] 周华成[14] 樊碧发[15] 冯智英[2] Expert Group of Consensus of Preparation Superior Cluneal Nerve Block Therapy in China;Peng Zhiyou;Feng Pengjiu;He Ruilin;Jiang Hao;Liu Guangzhao;Luo Fang;Ma Ke;Shen Wen;Wan Li;Wang Dequan;Yang Xiaoqiu;Zhang Xianwei;Zhou Huacheng;Fan Bifa;Feng Zhiying(不详;Department of Painology,The First Afiliated Hospital of Zhejiang University,Hangzhou City,Zhejiang Province 310003,China;Department of Painology,Liuzhou Traditional Chinese Medicine Hospital,Liuzhou City,Guangxi Zhuang Autonomous Region 545001;Department of Painology,The Second Affiliated Hospital of Guangxi Medical University,Nanning City,Guangxi Zhuang Automomous Region 530007,China;Department of Painology,The First Affiliated Hospital of Fujian Medical University,Fuzhou City,Fujian Province 350005,China;Department of Painology,The Second Hospital of Hebei Medical University,Shijiazhuang City,Hebei Province 050000,China;Department of Painology,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China;Department of Painology,Xinhua Hospital affiliated to Shanghai Jiao tong University School of Medicine,Shanghai City 200092,China;Department of Painology,The Affiliated Hospital of Xuzhou Medical University,Xuzhou City,Jiangsu Province 220005,China;Department of Painology,The Second Affiliated Hospital of Guangzhou Medical University,Guangzhou City,Guangdong Province 510260,China;Department of Painology,People's Hospital of Xinjiang Uygur Autonomous Region,Urumqi City,Xinjiang Uygur Autonomous Region 830001,China;Department of Painology,The First Affiliated Hospital of Chongqing Medical University,Chongqing City 400016,China;Department of Painology,Tongji Hospital of Tongji Medical College,Huazhong University of Science and Technology,Wuhan City,Hubei Province 430030,China;Department of Painology,The Fourth Affiliated Hospital of Harbin Medical University,Harbin City,Heilongjiang Province 150001,China;Department of Painology,China-Japan Friendship Hospital,Bejing 100029,China)

机构地区：[1]不详 [2]浙江大学医学院附属第一医院疼痛科,杭州市310003 [3]柳州市中医医院疼痛科,柳州市545001 [4]广西医科大学第二附属医院疼痛科,南宁市5530007 [5]福建医科大学附属第一医院疼痛科,福州市350005 [6]河北医科大学第二附属医院疼痛科,石家庄市050000 [7]首都医科大学附属北京天坛医院疼痛科,北京100070 [8]上海交通大学医学院附属新华医院疼痛科,上海市200092 [9]徐州医科大学附属医院疼痛科,徐州市220005 [10]广州医科大学附属第二医院疼痛科,广州市510260 [11]新疆维吾尔自治区人民医院疼痛科,乌鲁木齐市830001 [12]ll重庆医科大学附属第一医院疼痛科,重庆市400016 [13]华中科技大学同济医学院附属同济医院疼痛科,武汉市430030 [14]哈尔滨医科大学附属第四医院疼痛科,哈尔滨市150001 [15]中日友好医院疼痛科,北京100029

出　　处：《中华疼痛学杂志》2024年第3期339-347,共9页Chinese Journal Of Painology

基　　金：国家自然科学基金(82271239);浙江省科技厅尖兵领雁研发攻关计划(省重点研发)(2022C03081);浙江省自然科学基金(LBY23H110001)。

摘　　要：臀上皮神经主要来源于L_(1)~L_(3)脊神经根后支的外侧支,并主要分布于腰部及臀部的感觉神经。臀上皮神经阻滞可用于腰臀部疼痛的鉴别诊断和治疗。本共识基于臀上皮神经的解剖和生理功能,总结臀上皮神经阻滞疗法的适应证、禁忌证、阻滞技术操作方法、并发症防治和注意事项,为临床医生开展臀上皮神经阻滞疗法提供指导。The superior cluneal nerve mainly originates from the lateral branch of the posterior branch of the L_(1)~L_(3)spinal nerve root,and is mainly distributed in the waist and buttocks.Superior cluneal nerve block can be used in the differential diagnosis and treatment of lumbohip pain.Based on the anatomical and physiological functions of the superior cluneal nerve,this consensus summarizes the indications,contraindications,operation methods,prevention and treatment of complications and precautions of the superior cluneal nerve block therapy,to provide guidance for clinicians to carry out in the clinic.

关 键 词：臀上皮神经 神经阻滞 解剖学 影像引导 专家共识 

分 类 号：R402[医药卫生—临床医学]