染料扩散模式和神经参与在不同注射体积的上和下上阴茎的阴茎块之间的比较:一个尸体评估
Tae-Hyeon Cho1,2, Byongnam Jun3, Hun-Mu Yang2,4,5
1Department of Anatomy, College of Korean Medicine, Semyung University, Jecheon-si 27136, Republic of Korea.
Medicina (Kaunas, Lithuania)
|September 28, 2024
概括
上膜下腹区块 (S-FICB) 可能会以更高的体积到达阻塞神经 (ON),而不是下的方法. 对于S-FICB和I-FICB的标准体积并不总是实现ON封锁.
科学领域:
- 麻醉学 麻醉学
- 人体解剖学 解剖学 解剖学
- 疼痛管理 疼痛管理
背景情况:
- 腹膜下垂体区块 (FICB) 是治疗部手术疼痛的常见技术.
- 通过FICB阻塞闭关神经 (ON) 是有争议的.
- 解剖学变异和注射剂的传播影响神经覆盖.
研究的目的:
- 在上 (S-FICB) 和下 (I-FICB) 方法之间比较染料传播和神经参与.
- 评估不同注射量 (30毫升与60毫升) 对神经染色的影响.
- 用FICB确定ON封锁的可行性.
主要方法:
- 用12个未经包装的标本进行尸体研究.
- 随机 S-FICB 和 I-FICB 程序. 随机 S-FICB 和 I-FICB 程序. 随机 S-FICB 和 I-FICB 程序. 随机 S-FICB 和 I-FICB 程序. 随机 S-FICB 和 I-FICB 程序.
- 注射30毫升或60毫升的染料,然后进行解剖剖.
主要成果:
- 腿部神经 (FN) 和侧面腿部皮肤神经 (LFCN) 一致地染色.
- 上FICB显示体积依赖的扩散到腰椎.
- 下FICB的传播在阴茎内被限制在尾部.
- 闭关神经 (ON) 染色仅发生在60毫升S-FICB.时.
结论:
- 标准的FICB体积不能可靠地阻断闭关神经 (ON).
- 具有高体积的上FICB可能会实现ON阻塞.
- 下FICB似乎没有提供ON阻塞.
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