附带管道阻塞技术不会导致坐骨神经分支的参与:放射性尸体研究
Pascal Sh Smulders1, Werner Ten Hoope2, Holger M Baumann1
1Department of Anesthesiology, Amsterdam UMC Location AMC, Amsterdam, The Netherlands.
Regional anesthesia and pain medicine
|July 3, 2023
概括
膝关节手术时的诱导管道阻塞很少影响坐骨神经,即使体积大. 在少数病例中,注射到骨发生了扩散,但其临床意义尚不清楚.
科学领域:
- 麻醉学 麻醉学
- 人体解剖学 解剖学 解剖学
- 放射学 放射学是一门学科.
背景情况:
- 距离大腿三角形和添加管道阻塞在膝盖手术中很常见.
- 人们担心注射剂会扩散到后沟,并可能影响坐骨神经.
- 这可能会导致意外的机动阻塞.
研究的目的:
- 为了研究各种添加管道阻塞技术后的坐骨神经覆盖范围.
- 为了确定不同注射体积的坐骨神经分裂参与的发生率.
主要方法:
- 使用18个人类尸体 (36个块) 的放射性尸体研究.
- 超声波导向的注射在偏远的股骨三角形或添加管运河中,体积为2毫升或30毫升.
- 注射剂包括在局部麻醉中稀释的对比剂,通过全身CT扫描进行评估.
主要成果:
- 没有观察到坐骨神经或其主要分部的覆盖.
- 在36个区块中的3个区块中,注射到尾的传播发生了.
- 对比总是到达神经,而大腿神经总是幸免.
结论:
- 附带管道阻塞技术不太可能导致坐骨神经阻塞,即使体积较大.
- 注射剂扩散到尾是罕见的,其对止痛的贡献是不确定的.
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