超声引导下腹横肌平面阻滞用于腹部手术的研究进展

doi:10.3969/j.issn.2095-378X.2017.03.014

摘要/Abstract

摘要： 超声引导下腹横肌平面(transversus abdominis plane,TAP)阻滞是一种前腹壁周围神经阻滞(T6至L1),方法是在超声引导下将局麻药物注射到腹横肌筋膜和其深部肌肉筋膜间隙内。目前用于临床的有腹外侧入路法、肋缘下入路法和后侧入路法等不同入路方式,根据所要达到的麻醉平面选择对应入路法。TAP阻滞可用于腹部手术术中麻醉和术后镇痛。作为多模式镇痛方案之一,可提高腹部手术镇痛效果。超声引导下操作提高了阻滞成功率、降低并发症的发生率。联合应用右美托咪定可以增强镇痛质量,连续TAP阻滞可以达到持续稳定的镇痛效果。

关键词: 腹横肌平面阻滞, 超声引导, 腹部手术

Abstract: Ultrasound-guided transversus abdominis plane (TAP) block is a peripheral nerve (T6-L1) block for anterior abdominal wall.The method is injecting local anesthetics into the gap of fascia transversalis and deep muscle under ultrasound guidance.There are three major approaches used in clinical practice currently,including abdominal lateral approach,subcostal approach,and posterior approach.According to the level of anesthesia,we can choose corresponding approaches.TAP block can be used for anesthesia in abdominal surgery and postoperative analgesia.As one multimodal analgesia scheme,TAP block can improve analgesia effect.Ultrasound guidance can improve the success rate of TAP block and reduce the incidence rate of complications.The combined application of dexmedetomidine can enhance analgesic quality.Continuous TAP block can achieve sustained and stable analgesic effect.

Key words: Transversus abdominis plane block, Ultrasound guidance, Abdominal surgery

中图分类号:

R614

赵嫣红, 张晓庆. 超声引导下腹横肌平面阻滞用于腹部手术的研究进展[J]. 外科研究与新技术, 2017, 6(3): 193-197.

ZHAO Yanhong, ZHANG Xiaoqing. Research progress on ultrasound-guided transversus abdominis plane block for abdominal surgery[J]. Surgical Research and New Technique, 2017, 6(3): 193-197.

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