文章摘要
胸腰筋膜平面阻滞在脊柱外科手术围术期的应用进展
Application progress on thoracolumbar interfascial plane block in the perioperative period of spinal surgery
  
DOI:10.12089/jca.2023.05.020
中文关键词: 胸腰筋膜平面阻滞  脊柱外科手术  术后镇痛  超声引导
英文关键词: Thoracolumbar interfascial plane block  Spinal surgery  Postoperative analgesia  Ultrasound guidance
基金项目:
作者单位E-mail
闫庆阳 730030, 兰州大学第二医院麻醉科  
石翊飒 730030, 兰州大学第二医院麻醉科 shiys@lzu.edu.cn 
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中文摘要:
      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。
英文摘要:
      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.
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