摘要
胸腰筋膜平面(TLIP)阻滞是一种用于腰椎术后镇痛的筋膜间平面阻滞技术。随着超声技术的普及,TLIP阻滞被广泛应用,能提供良好的术后镇痛,减少术中及术后阿片类药物的用量,且操作简单、并发症少。目前TLIP阻滞主要用于腰椎融合术、腰椎间盘切除术以及椎板成型术等腰椎手术的多模式镇痛。此外,TLIP阻滞还可用于微创脊柱外科手术的麻醉,如经皮椎间孔镜手术、经椎间孔入路腰椎椎间融合术和脊髓刺激器的植入等。本文对TLIP阻滞的解剖学基础、作用机制、临床应用及并发症等方面作一综述,以期为脊柱外科手术的麻醉及多模式镇痛提供参考。
Thoracolumbar interfascial plane(TLIP)block is an interfascial plane block technique used for postoperative analgesia in the lumbar spine.With the popularization of ultrasound technology,TLIP block is widely used and further improved to provide good postoperative analgesia for lumbar spine surgery patients,which reduces the dosage of intraoperative and postoperative opioids,and has simple operation and few complications.Currently,TLIP block is mainly used for multimodal analgesia in lumbar spine surgery such as lumbar fusion,lumbar discectomy and laminoplasty.In addition,TLIP block can also be used for anesthesia in minimally invasive spinal surgeries,such as percutaneous laminectomy,lumbar interbody fusion via foraminal approach,and spinal cord stimulator implantation.This article reviews the anatomical basis,mechanism of action,clinical application and complications of TLIP block,with can provide reference for anesthesia and multimodal analgesia in spinal surgery.
作者
闫庆阳
石翊飒
YAN Qingyang;SHI Yisa(Department of Anesthesiology,the Second Hospital of Lanzhou University,Lanzhou 730030,China)
出处
《临床麻醉学杂志》
CAS
CSCD
北大核心
2023年第5期546-549,共4页
Journal of Clinical Anesthesiology
关键词
胸腰筋膜平面阻滞
脊柱外科手术
术后镇痛
超声引导
Thoracolumbar interfascial plane block
Spinal surgery
Postoperative analgesia
Ultrasound guidance
