摘要
臂丛神经阻滞是上肢手术最常使用的麻醉、镇痛方式。根据上肢手术部位的要求和神经走行解剖位置的不同,臂丛神经阻滞的阻滞部位和路径愈来愈多,其中肌间沟、锁骨上、锁骨下、腋路是臂丛神经阻滞的经典入路路径。近年来,随着超声技术的进步和操作人员水平的提高,神经阻滞技术不断革新,新的超声引导下锁骨下臂丛神经阻滞技术肋锁间隙(CCS)入路锁骨下臂丛神经阻滞应运而生。CCS入路解剖位置固定且变异率低,能为上肢手术提供全面的镇痛。本文就CCS的解剖、超声引导下阻滞方法及临床意义等方面的研究进展进行综述。
Brachial plexus block,as the most commonly used anesthesia and analgesia in upper extremity surgery,has been widely promoted in clinical practice.According to the requirements of the operative site of the upper limb and the different anatomical locations of the nerve route,there are more and more blocked sites and routes,among which four routes are classical approaches:intermuscular sulci,supraclavicular,subclavian and axillary routes.In recent years,with the advancement of ultrasound technology and the improvement of the level of operators,the nerve block technology is innovative,and a new ultrasound-guided subclavian brachial plexus block technology is proposed,that is,the costoclavicular space(CCS)approach,which lacks the anatomical location and has the same low variation rate.Provides full analgesia for upper extremity surgery.In this paper,we reviewed the research progress in the anatomy,ultrasound-guided block method and clinical significance of this approach.
作者
韦宁
WEI Ning(Department of Anesthesiology,the Third People’s Hospital of Hechi City,Hechi,Guangxi 547000,China)
出处
《医药前沿》
2023年第15期55-57,共3页
Journal of Frontiers of Medicine
关键词
综述
超声引导
臂丛神经阻滞
肋锁间隙
上肢手术
Review
Ultrasonic guidance
Brachial plexus block
Costoclavicular space
Upper extremity operation
