怀孕期间的脊椎水平根据后上下脊椎:一项观察性研究
Ping Li1,2, Dong Luo3,4, Haibo Qu2,5
1Department of Anesthesiology, West China Second University Hospital, Sichuan University, 20#, Section 3 Renmin Nan Road, Chengdu, Sichuan, 610041, PR China.
BMC pregnancy and childbirth
|December 31, 2024
概括
后上下脊 (PSIS) 线可以帮助确定怀孕妇女神经轴麻醉的腰部水平. 一个基于PSIS线的三角形可靠地显示从L2到L4的脊椎水平.
科学领域:
- 麻醉学 麻醉学
- 放射学 放射学是一门学科.
- 人体解剖学 解剖学 解剖学
背景情况:
- 后上下脊 (PSIS) 线是已知的解剖学里程碑,但其在神经轴间麻醉中用于腰椎间隙定位的实用性尚不清楚.
- 以前用于识别麻醉的腰部水平的方法可能不准确,特别是在孕妇患者中.
研究的目的:
- 评估后部上部脊 (PSIS) 线作为识别腰椎水平的参考.
- 确定基于PSIS线的三角形在孕妇中用于神经轴麻醉定位的临床适用性.
主要方法:
- 在麻醉医生标记PSIS线之后,孕妇 (怀孕24-38周) 接受了MRI.
- 构建了一个等边三角形,以PSIS线为底线,并标记其顶点.
- 磁力共振成像 (MRI) 确定了PSIS线和三角形的顶点相交的脊椎水平.
主要成果:
- 最常见的是PSIS线切断S1脊椎体 (62%).
- 基于PSIS线的三角形的顶点在87%的案例中与腰部水平L2到L4相交.
- 在交叉的脊椎水平和母亲的身高,体重或妊娠年龄之间没有发现相关性.
结论:
- 在孕妇中,PSIS线可靠地交叉S1脊椎体.
- 基于PSIS线的三角形是一种潜在的有用工具,用于识别用于神经轴麻醉的腰椎水平 (L2-L4).
- 这个解剖学里程碑提供了一种实际的方法来提高神经轴麻醉程序的准确性.
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