摘要
根据臂丛神经走行的特点, 臂丛神经阻滞有多种入路可供选择。近年来, 随着对人体解剖学的深入研究, 臂丛神经阻滞出现了新型入路, 即肋锁间隙入路。肋锁间隙内的臂丛神经各束相互聚集, 位于腋动脉外侧, 解剖变异率低。肋锁间隙臂丛神经阻滞操作简单, 所需局麻药容量较少, 在上肢手术中得到了愈来愈多的应用。文章就肋锁间隙臂丛神经阻滞的相关解剖、操作技术、局麻药容量和浓度、临床应用优势和不足进行综述, 以期为临床实践提供参考。
The specificity of the brachial plexus nerve pathway allows for a variety of approaches to the brachial plexus block.In recent years,with the in-depth study of human anatomy,a new type of approach to the brachial plexus nerve block has appeared,which is the cribriform interspace approach.The bundles of the brachial plexus nerves at the costoclavicular space converge with each other and are located lateral to the axillary artery,with low anatomical variability.The brachial plexus nerve block at the costoclavicular space is simple to perform and requires less volume of local anesthetic,which has been increasingly used in upper extremity surgery.This paper reviews the anatomy,technique,volume,and concentration of local anesthetic,and the advantages and shortcomings of brachial plexus nerve block at the costoclavicular space,with a view to providing reference for clinical practice.
作者
李咸鹏
郑煜丽
高晓曼
高成杰
唐鲁
王飞
Li Xianpeng;Zheng Yuli;Gao Xiaoman;Gao Chengjie;Tang Lu;Wang Fei(Department of Anesthesiology,Jining No.1 People's Hospital,Jining 272011,China;Graduate School of Jinzhou Medical University,Jinzhou 121001,China;Department of Anesthesiology,the 960th Hospital of the PLA Joint Logistics Support Force,Ji'nan 250031,China;Department of Stomatology,the 960th Hospital of the PLA Joint Logistics Support Force,Ji'nan 250031,China)
出处
《国际麻醉学与复苏杂志》
CAS
2023年第9期990-994,共5页
International Journal of Anesthesiology and Resuscitation
基金
济南市临床医学科技创新计划(202019018, 202019025)。
关键词
肋锁间隙
臂丛神经
神经阻滞
Costoclavicular space
Brachial plexus
Nerve block
