超声引导下闭孔神经阻滞研究现状
摘要
超声引导的外周神经阻滞具有高精准度和安全性等优点,广泛应用于下肢各类手术。由于其具有可视化的优点,能清晰辨认周围的解剖结构,为麻醉医生实行麻醉提供有价值的信息。闭孔神经阻滞可预防经尿道膀胱肿瘤切除术中闭孔神经反射、缓解大腿内收肌痉挛及髋关节疼痛等,随着超声的不断发展,超声引导下闭孔神经阻滞研究越来越多,本文将闭孔神经解剖、闭孔神经阻滞适应症及超声引导下闭孔神经阻滞几方面作一概述,具有一定的临床应用价值。
引文
[1]靳红绪,王忠义,张同军,等.超声引导下闭孔神经阻滞在经尿道膀胱肿瘤电切术中的应用[J].广东医学,2013,34(22):3465-3467
[2]Lam K,Wong D,Tam CK,et al.Ultrasound and electrical stimulator-guided obturator nerve block with phenol in the treatment of hip adductor spasticity in long-term care patients:a randomized,triple blind,placebo controlled study[J].Journal of the American Medical Directors Association,2015,16(3):238-246
[3]任晓平,蔡靓羽,张建楠,等.超声引导下闭孔神经阻滞改善全膝关节置换术后连续股神经阻滞镇痛的效果[J].江苏医药,2016,42(15):1674-1676
[4]Wu H,Groner J.Pulsed radiofrequency treatment of articular branches of the obturator and femoral nerves for management of hip joint pain[J].Pain Practice,2007,7(4):341-344
[5]Akkaya T,Unlu E,Alptekin A,et al.Neurolytic phenol blockade of the obturator nerve for severe adductor spasticity[J].Acta Anaesthesiologica Scandinavica,2009,54(1):79-85
[6]Labat G.Regional Anesthesia:Its Technic and Clinical Application[J].Journal of the American Medical Association,1922,81(14):1227
[7]Choquet O,Capdevila X,Bennourine K,et al.A new inguinal approach for the obturator nerve block:anatomical and randomized clinical studies[J].Anesthesiology,2005,103(6):1238-1245
[8]Pladzyk K,Jureczko L,Lazowski T.Over 500 obturator nerve blcks in the lithotomy position during transurethral resection of bladder tumor[J].Cent European J Urol,2012,65(2):67-70
[9]张永,王国亚,杨胜波.股神经和闭孔神经肌支转位的解剖学测量和神经纤维定量[J].中国临床解剖学杂志,2014,32(5):544-547
[10]Yoshida T,Nakamoto T,Kamibayashi T.Ultrasound-Guided Obtturator Nerve Block:A Focused Review on Anatomy and Updated Techniques[J].Biomed Res Int,2017,2017:7023750
[11]Anagnostopoulou S,Kostopanagiotou G,Paraskeuopoulos T,et al.Anatomic variations of the obturator nerve in the inguinal region:implications in conventional and ultrasound regional anesthesia techniques[J].Regional anesthesia and pain medicine,2009,34(1):33-39
[12]Bendtsen TF,Moriggl B,Chan V,et al.The optimal analgesic bloblock for total knee arthroplasty[J].Regional Anesthesia and Pain Medicine,2016,41(6):711-719
[13]Bouaziz H,Vial F,Jochum D,et al.An evaluation of the cutaneous distribution after obturator nerve block[J].Anesthesia&Analgesia,2002,94(2):445-449
[14]靳红绪,王忠义,张同军,等.超声引导下闭孔神经阻滞在经尿道膀胱肿瘤电切术中的应用[J].广东医学,2013,34(22):3465-3467
[15]Bolat D,Aydogdu O,Tekgul ZT,et al.Impact of nerve stimulatorguided obturator nerve block on the short-term outcomes and complications of transurethral resection of bladder tumour:A prospective randomized controlled study[J].Canadian Urological Association Journal,2015,9(11-12):E780
[16]Tekgül ZT,Divrik RT,Turan M,et al.Impact of obturator nerve block on the short-term recurrence of superficial bladder tumors on the lateral wall[J].Urology journal,2014,11(1):1248
[17]陈振光,谢昀,陶圣祥,等.髋关节神经支配的解剖学研究及其临床意义[J].中国临床解剖学杂志,2004,22(6):565-567
[18]张志军,贾若,段立鹏,等.髂筋膜单点与多点阻滞用于股骨颈骨折患者行椎管内麻醉摆放体位及术后镇痛效果的临床比较[J].北京医学,2016,38(10):1111-1113
[19]张大志,常颖,杨庆国.超声引导下髂筋膜间隙不同角度多点阻滞与单点阻滞效果的比较[J].临床麻醉学杂志,2015,31(1):50-52
[20]余正红,蔡胥,赵卫东,等.膝关节神经分布的解剖学研究及其临床意义[J].中国临床解剖学杂志,2008,26(1):11-16
[21]Taha AM.Brief reports:ultrasound-guided obturator nerve block a proximal interfascial technique[J].Anesthesia&Analgesia,2012,114(1):236-239
[22]任晓平,蔡靓羽,张建楠,等.超声引导下闭孔神经阻滞改善全膝关节置换术后连续股神经阻滞镇痛的效果[J].江苏医药,2016,42(15):1674-1676
[23]张本福.新径路闭孔神经阻滞在经尿道膀胱肿瘤电切术中的应用[J].临床麻醉学杂志,2011,27(4):388-389
[24]Youn Yi Jo,Eunkyeong Choi,Hae Keum Kil.Comparison of the success rate of inguinal approach with classical pubic approach for obturator nerve block in patients undergoing TURB[J].Korean Journal of Anesthesiology,2011,61(2):143-147
[25]Thallaj A,Rabah D.Efficacy of ultrasound-guided obturator nerve block in transurethral surgery[J].Saudi Journal of Anaesthesia,2011,5(1):42-44
[26]楼海霞,李伟燕.超声引导神经刺激器辅助腰丛—坐骨神经阻滞在老年危重患者下肢手术中的应用[J].浙江临床医学,2014(4):572-573
[27]Yoshida T,Onishi T,Furutani K,et al.A new ultrasound-guided pubic approach for proximal obturator nerve block:clinical study and cadaver evaluation[J].Anaesthesia,2016,71(3):291-297
[28]Ruiz A,Sala-Blanch X,Martinez-Ocón J,et al.Incidence of intraneural needle insertion in ultrasound-guided femoral nerve block:A comparison between the out-of-plane versus the in-plane approaches[J].Revista Espa?ola De Anestesiología Y Reanimación,2014,61(2):73-77
[29]Akkaya T,Ozturk E,Comert A,et al.Ultrasound-guided obturator nerve block:a sonoanatomic study of a new methodologic approach[J].Anesthesia&Analgesia,2009,108(3):1037-1041
[30]Won HS,Kim JH,Lee UY,et al.Topographical relationships betbetween the obturator nerve,artery,and vein in the lateral pelvic wall[J].International Urogynecology Journal,2016,27(2):213-218
[31]Sinha SK,Abrams JH,Houle TT,et al.Ultrasound-guided obturator nerve block:an interfascial injection approach without nerve stimulation[J].Regional anesthesia and pain medicine,2009,34(3):261-264
[2]Lam K,Wong D,Tam CK,et al.Ultrasound and electrical stimulator-guided obturator nerve block with phenol in the treatment of hip adductor spasticity in long-term care patients:a randomized,triple blind,placebo controlled study[J].Journal of the American Medical Directors Association,2015,16(3):238-246
[3]任晓平,蔡靓羽,张建楠,等.超声引导下闭孔神经阻滞改善全膝关节置换术后连续股神经阻滞镇痛的效果[J].江苏医药,2016,42(15):1674-1676
[4]Wu H,Groner J.Pulsed radiofrequency treatment of articular branches of the obturator and femoral nerves for management of hip joint pain[J].Pain Practice,2007,7(4):341-344
[5]Akkaya T,Unlu E,Alptekin A,et al.Neurolytic phenol blockade of the obturator nerve for severe adductor spasticity[J].Acta Anaesthesiologica Scandinavica,2009,54(1):79-85
[6]Labat G.Regional Anesthesia:Its Technic and Clinical Application[J].Journal of the American Medical Association,1922,81(14):1227
[7]Choquet O,Capdevila X,Bennourine K,et al.A new inguinal approach for the obturator nerve block:anatomical and randomized clinical studies[J].Anesthesiology,2005,103(6):1238-1245
[8]Pladzyk K,Jureczko L,Lazowski T.Over 500 obturator nerve blcks in the lithotomy position during transurethral resection of bladder tumor[J].Cent European J Urol,2012,65(2):67-70
[9]张永,王国亚,杨胜波.股神经和闭孔神经肌支转位的解剖学测量和神经纤维定量[J].中国临床解剖学杂志,2014,32(5):544-547
[10]Yoshida T,Nakamoto T,Kamibayashi T.Ultrasound-Guided Obtturator Nerve Block:A Focused Review on Anatomy and Updated Techniques[J].Biomed Res Int,2017,2017:7023750
[11]Anagnostopoulou S,Kostopanagiotou G,Paraskeuopoulos T,et al.Anatomic variations of the obturator nerve in the inguinal region:implications in conventional and ultrasound regional anesthesia techniques[J].Regional anesthesia and pain medicine,2009,34(1):33-39
[12]Bendtsen TF,Moriggl B,Chan V,et al.The optimal analgesic bloblock for total knee arthroplasty[J].Regional Anesthesia and Pain Medicine,2016,41(6):711-719
[13]Bouaziz H,Vial F,Jochum D,et al.An evaluation of the cutaneous distribution after obturator nerve block[J].Anesthesia&Analgesia,2002,94(2):445-449
[14]靳红绪,王忠义,张同军,等.超声引导下闭孔神经阻滞在经尿道膀胱肿瘤电切术中的应用[J].广东医学,2013,34(22):3465-3467
[15]Bolat D,Aydogdu O,Tekgul ZT,et al.Impact of nerve stimulatorguided obturator nerve block on the short-term outcomes and complications of transurethral resection of bladder tumour:A prospective randomized controlled study[J].Canadian Urological Association Journal,2015,9(11-12):E780
[16]Tekgül ZT,Divrik RT,Turan M,et al.Impact of obturator nerve block on the short-term recurrence of superficial bladder tumors on the lateral wall[J].Urology journal,2014,11(1):1248
[17]陈振光,谢昀,陶圣祥,等.髋关节神经支配的解剖学研究及其临床意义[J].中国临床解剖学杂志,2004,22(6):565-567
[18]张志军,贾若,段立鹏,等.髂筋膜单点与多点阻滞用于股骨颈骨折患者行椎管内麻醉摆放体位及术后镇痛效果的临床比较[J].北京医学,2016,38(10):1111-1113
[19]张大志,常颖,杨庆国.超声引导下髂筋膜间隙不同角度多点阻滞与单点阻滞效果的比较[J].临床麻醉学杂志,2015,31(1):50-52
[20]余正红,蔡胥,赵卫东,等.膝关节神经分布的解剖学研究及其临床意义[J].中国临床解剖学杂志,2008,26(1):11-16
[21]Taha AM.Brief reports:ultrasound-guided obturator nerve block a proximal interfascial technique[J].Anesthesia&Analgesia,2012,114(1):236-239
[22]任晓平,蔡靓羽,张建楠,等.超声引导下闭孔神经阻滞改善全膝关节置换术后连续股神经阻滞镇痛的效果[J].江苏医药,2016,42(15):1674-1676
[23]张本福.新径路闭孔神经阻滞在经尿道膀胱肿瘤电切术中的应用[J].临床麻醉学杂志,2011,27(4):388-389
[24]Youn Yi Jo,Eunkyeong Choi,Hae Keum Kil.Comparison of the success rate of inguinal approach with classical pubic approach for obturator nerve block in patients undergoing TURB[J].Korean Journal of Anesthesiology,2011,61(2):143-147
[25]Thallaj A,Rabah D.Efficacy of ultrasound-guided obturator nerve block in transurethral surgery[J].Saudi Journal of Anaesthesia,2011,5(1):42-44
[26]楼海霞,李伟燕.超声引导神经刺激器辅助腰丛—坐骨神经阻滞在老年危重患者下肢手术中的应用[J].浙江临床医学,2014(4):572-573
[27]Yoshida T,Onishi T,Furutani K,et al.A new ultrasound-guided pubic approach for proximal obturator nerve block:clinical study and cadaver evaluation[J].Anaesthesia,2016,71(3):291-297
[28]Ruiz A,Sala-Blanch X,Martinez-Ocón J,et al.Incidence of intraneural needle insertion in ultrasound-guided femoral nerve block:A comparison between the out-of-plane versus the in-plane approaches[J].Revista Espa?ola De Anestesiología Y Reanimación,2014,61(2):73-77
[29]Akkaya T,Ozturk E,Comert A,et al.Ultrasound-guided obturator nerve block:a sonoanatomic study of a new methodologic approach[J].Anesthesia&Analgesia,2009,108(3):1037-1041
[30]Won HS,Kim JH,Lee UY,et al.Topographical relationships betbetween the obturator nerve,artery,and vein in the lateral pelvic wall[J].International Urogynecology Journal,2016,27(2):213-218
[31]Sinha SK,Abrams JH,Houle TT,et al.Ultrasound-guided obturator nerve block:an interfascial injection approach without nerve stimulation[J].Regional anesthesia and pain medicine,2009,34(3):261-264