国际麻醉学与复苏杂志   2020, Issue (8): 0-0
    
腹腔筋膜间隙解剖与相关区域麻醉技术的研究进展
吴泽昊, 王云1()
1.首都医科大学附属北京朝阳医院
Research progress in anatomy of abdominal fascial space and related regional anesthesia techniques
 全文:
摘要:

筋膜平面阻滞技术近年来发展迅速,与传统外周神经阻滞不同,筋膜平面阻滞不要求看清楚目标神经,只需了解筋膜的解剖,即可预测阻滞效果。为了明确腹腔筋膜间隙的解剖和胸腹部筋膜平面液体的流通关系,从而精确地把握药液扩散和阻滞平面与范围,获得良好镇痛及避免危险并发症的发生。本文对腹腔筋膜间隙解剖和液体流通关系及相关筋膜平面阻滞技术进行了综述。利用好筋膜联通关系能扩大相关区域麻醉技术的发展范围,未来需要更多麻醉医师去探索筋膜平面阻滞技术及解剖层次。

关键词: 筋膜解剖; 腹膜后间隙; 液体流通及扩散; 区域麻醉
Abstract:

Fascial plane block technology has developed rapidly in recent years. Unlike traditional peripheral nerve block, fascial plane block does not require to see the target nerve clearly, but only needs to understand the anatomy of the fascia to predict the effect of block. In order to clarify the anatomy of the abdominal fascial space and the circulation relationship of fluid in the thoracoabdominal fascial plane, so as to accurately grasp the diffusion of the drug solution and the level and extent of block, obtain good analgesia and avoid the occurrence of dangerous complications. This article reviews the relationship between abdominal fascial space anatomy and fluid flow and related fascial plane block techniques. Using the fascial connection relationship can expand the development range of related regional anesthesia techniques, and more anesthesiologists need to explore the fascial plane block technique and anatomical level in the future.

Key words: Fascial anatomy; Retroperitoneal space; Fluid circulation and diffusion; Regional anesthesia