腹横肌平面阻滞在临床麻醉中的研究进展
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摘要
目的随着超声技术的发展,腹横肌平面阻滞在临床麻醉上的应用越来越广泛。近年来国内外诸多对腹横肌平面阻滞用于急性疼痛和慢性疼痛的研究。本文就腹横肌平面阻滞的解剖基础、阻滞技术、临床效果及并发症进行综述,为临床的疼痛治疗提供新的思路。
With the development of ultrasound technique,the transversus abdominis plane(TAP) block is more and more widely used in clinical anesthesia. In recent years,a number of studies about TAP block have been done in application of treating acute pain and chronic pain. The article reviews TAP block technique,including the relevant anatomy,operation methods,clinical effects,complications so as to provide new idea for clinical treatment of pain.
With the development of ultrasound technique,the transversus abdominis plane(TAP) block is more and more widely used in clinical anesthesia. In recent years,a number of studies about TAP block have been done in application of treating acute pain and chronic pain. The article reviews TAP block technique,including the relevant anatomy,operation methods,clinical effects,complications so as to provide new idea for clinical treatment of pain.
引文
1刘子嘉,黄宇光,罗爱伦.麻醉与加速术后康复.中华麻醉学杂志,2016,36:909-912.
2 Carli F,Kehlet H,Baldini G,et al.Evidence basis for regional anesthesia in mutidisciplinary fast-travk surgical care pathways.Reg Anesth Pain Med,2011,36:63-72.
3 Rafi AN.Abdominal field block:a new approach via the lumbar triangle.Anaesthesia,2001,56:1024-1026.
4 O’Donnell BD,Mc Donnell JG,Mc Shane AJ.The transversus abdominis plane(TAP)block in open retropubic prostatectomy.Reg Anesth Pain Med,2006,31:91.
5李泉主编.外周神经阻滞与超声介入解剖.第1版.北京:北京大学医学出版社,2017.338.
6 Hebbard P,Fujiwara Y,Shibata Y,et al.Ultrasound-guided transversus abdominis Plane(TAP)Block.Anaesth Intensive Care,2007,35:616-617.
7 Hebbard P.Subcostal transversus abdominis plane block under ultrasound guidance.Anesth Analg,2008,106:674-675.
8 Carney J,Finnerty O,Rauf J,et al.Studies on the spread of local anaesthetic solution in transversus abdominis plane blocks.Anaesthesia,2011,66:1023-1030.
9 Hebbard P.TAP block nomenclature.Anaesthesia,2015,70:105-117.
10 Mokini Z,Vitale G.Yet more on TAP block nomenclature.Anaesthesia,2015,70:369-370.
11 Yong MJ,Gorlin AW,Modest VE,et al.Clinical implication of the transversus abdominis plane block in adults.Anesthesiol Res Pract,2012,20:731-743.
12 Mc Donnell JG,Curley G,Carney J,et al.The analgesic efficacy of transversus abdominis plane block after cesarean delivery:a randomized controlled trial.Anesth Analg,2008,106:186-191.
13 Tran TM,Ivanusic JJ,Hebbard P,et al.Determination of spread of injectate after ultrasound-guided transversus abdominis plane block:a cadaveric study.Br J Anaesth,2009,120:123-127.
14 Oksuz G,Bilal B,Gurkan Y,et al.Quadratus lumborum block versus transversus abdominis plane block in children undergoing low abdominal surgery:a randomized controlled trial.Req Anesth Pain Med,2017,42:674-679.
15张双银,白洁,高翊博,等.超声引导下腹横肌平面阻滞用于子宫全切术后镇痛的效果.中华麻醉学杂志,2017,37:951-953.
16孙怡,张登文,李海风,等.不同时点腹横肌平面阻滞对腹腔镜手术术中及术后镇痛效果的影响.国际麻醉学与复苏杂志,2017,38:532-535,539.
17刘楠,张熙哲,冯艺.超声引导髂腹下/髂腹股沟神经阻滞和腹横肌平面阻滞用于剖宫产术后镇痛的效果.中华麻醉学杂志,2016,36:1098-1101.
18 Mc Donnell JG,O’Donnell BD,Farrell T,at al.Transversus abdominis plane block:a cadaveric and radiological evaluation.Reg Anesth Pain Med,2007,32:399-404.
19 Maeda A,Shibata SC,Wada H,et al.The efficacy of continuous subcostal transversus abdominis plane block for analgesia after living liver donation a retrospective study.J Anesth,2016,30:546.
20 Yoshida T,Furutani K,Watanabe Y,et al.Analgesic efficacy of bilateral continuous transversus abdominis plane blocks using an oblique subcostal approach in patients undergoing laparotomy for gynaecological cancer:a prospective,randomized,triple-blind,placebo-controlled study.Br J Anaesth,2016,117:812-820.
21 Choi YM,Byeon GJ,Park SJ,et al.Postoperative analgesic efficacy of single-shot and continuous transversus abdominis plane block after laparoscopic cholecystectomy:A randomized controlled clinical trial.JClin Anesth,2017,39:146-151.
22 Ganapathy S,Sondekoppam RV,Terlecki M,et al.Comparison of efficacy and safety of lateral-to-medial continuous transversus abdominis plane block with thoracic epidural analgesia in patients undegoing abdominal surgery:A randomised,open-label feasibility study.Eur JAnaesthesiol,2015,32:797-804.
23 Petersen M,Elers J,Borqlum J,et al.Is pulmonary function affected by bilateral dual transversus abdominis plan block A randomized,placebocontrolled,double-blind,crossover pilot study in healthy male volunteers.Reg Anesth Pain Med,2011,36:568-571.
24中华医学会麻醉学分会老年麻醉组.中国老年患者围术期麻醉管理指导意见.国际麻醉学与复苏杂志,2014,35:1057-1069.
25王利,郑璘,王万臣,等.腹横肌平面阻滞对局部麻醉下腹股沟疝修补术的疗效分析.中国现代医学杂志,2015,25:96-100.
26林兰英,林献忠,林财珠.右美托咪定辅助超声引导腹横肌平面阻滞在老年患者腹股沟斜疝修补术中的应用.福建医科大学学报,2016,5:325-329.
27 Daryl S,Matthew L,Robert S,et al.Transversus abdominis plane block as the primary anesthetic for peritoneal dialysis catheter surgery.J Clin Anesth,2016,31:182-188.
28 Elnabtity AM,Tawfeek MM,Keera AA,et al.Is unilateral transversus abdominis plane block an analgesic alternative for ureteric shock wave lithotripsy.Anesth Essays Res,2015,9:51-56.
29 Arzu K,Mehmet AE,Ulku O,et al.Ultrasound-guided transversus abdominis plane block for postoperative analgesia in living liver donors:A prospective,randomized,double-blinded clinical trial.J Clin Anesth,2017,37:103-107.
30朱广球,王晓霞,周纲.超声引导腹横肌平面阻滞在患儿腹股沟区手术中的应用.临床麻醉学杂志,2014,30:810-812.
31 Ramachandran R,Bansal S,Yadav P.Transversus Abdominis Plane Block for Inguinal Hernia Repair in a Premature Infant:A Case Report.A Case Rep,2017,8:31-32.
32 Jacobs A,Thies KC.Ultrasound-guided transversus abdominis plane block for reversal of ileostomy in a 2-kg premature neonate.Paediatr Anaesth,2009,19:1237-1238.
33 Johns N,O'Neill S,Ventham NT,et al.Clinical effectiveness of transversus abdominis plane(TAP)block in abdominal surgery:a systematic review and meta-analysis.Colorectal Dis,2012,14:e635-642.
34 Arora S,Chhabra A,Subaramaniam R,et al.Transversus abdominis plane block for laparoscopic inguinal hernia repair:a randomized trial.JClin Anesth,2016,33:357-364.
35 Venkatraman R,Abhinaya RJ,Sakthivel A,et al.Efficacy of ultrasoundguided transversus abdominis plane block for postoperative analgesia in patients undergoing inguinal hernia repair.Local Reg Anesth,2016,9:7-12.
36 Moyo N,Madzimbamuto FD,Shumbairerwa S.Adding a transversus abdominis plane block to parenteral opioid for postoperative analgesia following trans-abdominal hysterectomy in a low resource setting:a prospective,randomised,double blind,controlled study.BMC Res Notes,2016,9:50.
37 Champaneriaa R,Shaha L,Wilsonb MJ,et al.Clinical effectiveness of transversus abdominis plane(TAP)blocks for pain relief after cesarean section:a meta-analysis.Int J Obstet Anesth,2016,28:45-60.
38 Abd-Elsayed A,Malyuk D.Efficacy of Transversus Abdominis Plane Steroid Injection for Treating Chronic Abdominal Pain.Pain Pract,2017,34:672-680.
39 Guirquis MN,Abd-Elsayed AA,Girqis G,et al.Ultrasound-guided transversus abdominis plane catheter for chronic abdominal pain.Pain Pract,2013,13:235-238.
40 Restrepo-Garces CE,Asenjo JF,Gomez CM,et al.Subcostal transversus abdominis plane phenol injection for abdominal wall cancer pain.Pain Pract,2014,14:278-282.
41 Jankovic Z,Ahmad N,Ravishankar N,et al.Transversus abdominis plane block:how safe is it Anesth Analq,2008,107:1758-1759.
42 Farooq M,Carey M.A case of liver trauma with a blunt regional anesthesia needle while performing transversus abdominis plane block.Req Anesth Pain Med,2008,33:274-275.
43 Lancaster P,Chadwick M.Liver trauma secondary to ultrasound guided transversus abdominis plane block.Br J Anaesth,2010,104:509-510.
44 Bortolato A,Ori C,Freo U.Transient abdominal motor block after a transversus abdominis plane block in an elderly patient.Can J Anesth,2015,62:837-838.
45 Kato N,Fujiwara Y,Harato M,et al.Serum concentration of lidocaine after transversus abdominis plane block.J Anesth,2009,23:298-300.
46 Griffiths JD,Le NV,Grant S,et al.Symptomatic local anaesthetic toxicty and plasma ropivacaine concentrations after transversus abdominis plane block for Caesarean section.Br J Anaesth,2013,110:996-1000.
2 Carli F,Kehlet H,Baldini G,et al.Evidence basis for regional anesthesia in mutidisciplinary fast-travk surgical care pathways.Reg Anesth Pain Med,2011,36:63-72.
3 Rafi AN.Abdominal field block:a new approach via the lumbar triangle.Anaesthesia,2001,56:1024-1026.
4 O’Donnell BD,Mc Donnell JG,Mc Shane AJ.The transversus abdominis plane(TAP)block in open retropubic prostatectomy.Reg Anesth Pain Med,2006,31:91.
5李泉主编.外周神经阻滞与超声介入解剖.第1版.北京:北京大学医学出版社,2017.338.
6 Hebbard P,Fujiwara Y,Shibata Y,et al.Ultrasound-guided transversus abdominis Plane(TAP)Block.Anaesth Intensive Care,2007,35:616-617.
7 Hebbard P.Subcostal transversus abdominis plane block under ultrasound guidance.Anesth Analg,2008,106:674-675.
8 Carney J,Finnerty O,Rauf J,et al.Studies on the spread of local anaesthetic solution in transversus abdominis plane blocks.Anaesthesia,2011,66:1023-1030.
9 Hebbard P.TAP block nomenclature.Anaesthesia,2015,70:105-117.
10 Mokini Z,Vitale G.Yet more on TAP block nomenclature.Anaesthesia,2015,70:369-370.
11 Yong MJ,Gorlin AW,Modest VE,et al.Clinical implication of the transversus abdominis plane block in adults.Anesthesiol Res Pract,2012,20:731-743.
12 Mc Donnell JG,Curley G,Carney J,et al.The analgesic efficacy of transversus abdominis plane block after cesarean delivery:a randomized controlled trial.Anesth Analg,2008,106:186-191.
13 Tran TM,Ivanusic JJ,Hebbard P,et al.Determination of spread of injectate after ultrasound-guided transversus abdominis plane block:a cadaveric study.Br J Anaesth,2009,120:123-127.
14 Oksuz G,Bilal B,Gurkan Y,et al.Quadratus lumborum block versus transversus abdominis plane block in children undergoing low abdominal surgery:a randomized controlled trial.Req Anesth Pain Med,2017,42:674-679.
15张双银,白洁,高翊博,等.超声引导下腹横肌平面阻滞用于子宫全切术后镇痛的效果.中华麻醉学杂志,2017,37:951-953.
16孙怡,张登文,李海风,等.不同时点腹横肌平面阻滞对腹腔镜手术术中及术后镇痛效果的影响.国际麻醉学与复苏杂志,2017,38:532-535,539.
17刘楠,张熙哲,冯艺.超声引导髂腹下/髂腹股沟神经阻滞和腹横肌平面阻滞用于剖宫产术后镇痛的效果.中华麻醉学杂志,2016,36:1098-1101.
18 Mc Donnell JG,O’Donnell BD,Farrell T,at al.Transversus abdominis plane block:a cadaveric and radiological evaluation.Reg Anesth Pain Med,2007,32:399-404.
19 Maeda A,Shibata SC,Wada H,et al.The efficacy of continuous subcostal transversus abdominis plane block for analgesia after living liver donation a retrospective study.J Anesth,2016,30:546.
20 Yoshida T,Furutani K,Watanabe Y,et al.Analgesic efficacy of bilateral continuous transversus abdominis plane blocks using an oblique subcostal approach in patients undergoing laparotomy for gynaecological cancer:a prospective,randomized,triple-blind,placebo-controlled study.Br J Anaesth,2016,117:812-820.
21 Choi YM,Byeon GJ,Park SJ,et al.Postoperative analgesic efficacy of single-shot and continuous transversus abdominis plane block after laparoscopic cholecystectomy:A randomized controlled clinical trial.JClin Anesth,2017,39:146-151.
22 Ganapathy S,Sondekoppam RV,Terlecki M,et al.Comparison of efficacy and safety of lateral-to-medial continuous transversus abdominis plane block with thoracic epidural analgesia in patients undegoing abdominal surgery:A randomised,open-label feasibility study.Eur JAnaesthesiol,2015,32:797-804.
23 Petersen M,Elers J,Borqlum J,et al.Is pulmonary function affected by bilateral dual transversus abdominis plan block A randomized,placebocontrolled,double-blind,crossover pilot study in healthy male volunteers.Reg Anesth Pain Med,2011,36:568-571.
24中华医学会麻醉学分会老年麻醉组.中国老年患者围术期麻醉管理指导意见.国际麻醉学与复苏杂志,2014,35:1057-1069.
25王利,郑璘,王万臣,等.腹横肌平面阻滞对局部麻醉下腹股沟疝修补术的疗效分析.中国现代医学杂志,2015,25:96-100.
26林兰英,林献忠,林财珠.右美托咪定辅助超声引导腹横肌平面阻滞在老年患者腹股沟斜疝修补术中的应用.福建医科大学学报,2016,5:325-329.
27 Daryl S,Matthew L,Robert S,et al.Transversus abdominis plane block as the primary anesthetic for peritoneal dialysis catheter surgery.J Clin Anesth,2016,31:182-188.
28 Elnabtity AM,Tawfeek MM,Keera AA,et al.Is unilateral transversus abdominis plane block an analgesic alternative for ureteric shock wave lithotripsy.Anesth Essays Res,2015,9:51-56.
29 Arzu K,Mehmet AE,Ulku O,et al.Ultrasound-guided transversus abdominis plane block for postoperative analgesia in living liver donors:A prospective,randomized,double-blinded clinical trial.J Clin Anesth,2017,37:103-107.
30朱广球,王晓霞,周纲.超声引导腹横肌平面阻滞在患儿腹股沟区手术中的应用.临床麻醉学杂志,2014,30:810-812.
31 Ramachandran R,Bansal S,Yadav P.Transversus Abdominis Plane Block for Inguinal Hernia Repair in a Premature Infant:A Case Report.A Case Rep,2017,8:31-32.
32 Jacobs A,Thies KC.Ultrasound-guided transversus abdominis plane block for reversal of ileostomy in a 2-kg premature neonate.Paediatr Anaesth,2009,19:1237-1238.
33 Johns N,O'Neill S,Ventham NT,et al.Clinical effectiveness of transversus abdominis plane(TAP)block in abdominal surgery:a systematic review and meta-analysis.Colorectal Dis,2012,14:e635-642.
34 Arora S,Chhabra A,Subaramaniam R,et al.Transversus abdominis plane block for laparoscopic inguinal hernia repair:a randomized trial.JClin Anesth,2016,33:357-364.
35 Venkatraman R,Abhinaya RJ,Sakthivel A,et al.Efficacy of ultrasoundguided transversus abdominis plane block for postoperative analgesia in patients undergoing inguinal hernia repair.Local Reg Anesth,2016,9:7-12.
36 Moyo N,Madzimbamuto FD,Shumbairerwa S.Adding a transversus abdominis plane block to parenteral opioid for postoperative analgesia following trans-abdominal hysterectomy in a low resource setting:a prospective,randomised,double blind,controlled study.BMC Res Notes,2016,9:50.
37 Champaneriaa R,Shaha L,Wilsonb MJ,et al.Clinical effectiveness of transversus abdominis plane(TAP)blocks for pain relief after cesarean section:a meta-analysis.Int J Obstet Anesth,2016,28:45-60.
38 Abd-Elsayed A,Malyuk D.Efficacy of Transversus Abdominis Plane Steroid Injection for Treating Chronic Abdominal Pain.Pain Pract,2017,34:672-680.
39 Guirquis MN,Abd-Elsayed AA,Girqis G,et al.Ultrasound-guided transversus abdominis plane catheter for chronic abdominal pain.Pain Pract,2013,13:235-238.
40 Restrepo-Garces CE,Asenjo JF,Gomez CM,et al.Subcostal transversus abdominis plane phenol injection for abdominal wall cancer pain.Pain Pract,2014,14:278-282.
41 Jankovic Z,Ahmad N,Ravishankar N,et al.Transversus abdominis plane block:how safe is it Anesth Analq,2008,107:1758-1759.
42 Farooq M,Carey M.A case of liver trauma with a blunt regional anesthesia needle while performing transversus abdominis plane block.Req Anesth Pain Med,2008,33:274-275.
43 Lancaster P,Chadwick M.Liver trauma secondary to ultrasound guided transversus abdominis plane block.Br J Anaesth,2010,104:509-510.
44 Bortolato A,Ori C,Freo U.Transient abdominal motor block after a transversus abdominis plane block in an elderly patient.Can J Anesth,2015,62:837-838.
45 Kato N,Fujiwara Y,Harato M,et al.Serum concentration of lidocaine after transversus abdominis plane block.J Anesth,2009,23:298-300.
46 Griffiths JD,Le NV,Grant S,et al.Symptomatic local anaesthetic toxicty and plasma ropivacaine concentrations after transversus abdominis plane block for Caesarean section.Br J Anaesth,2013,110:996-1000.