横向过程作为估计持续袋深度的地标,以及为优化横向针插入的可行平面
Anna Puigdellívol-Sánchez1,2, Hipólito Labandeyra1,3, Alberto Prats-Galino1
1Laboratory of Surgical Neuroanatomy (LSNA), Human Anatomy and Embryology Unit, Faculty of Medicine and Health Sciences, Universitat de Barcelona, 08036 Barcelona, Spain.
NeuroSci
|November 24, 2025
概括
在脊髓麻醉中,高级横向过程是估计持续囊深度和指导针插入角度的关键标志,特别是当中线访问具有挑战性时. 这种解剖关系有助于成功放置中位数针.
科学领域:
- 人体解剖学 解剖学 解剖学
- 麻醉学 麻醉学
- 医疗成像医学成像
背景情况:
- 皮肤到横向的过程距离与皮肤到持续性囊深度相关,有助于估计针头插入角度.
- 视觉指南说明了基于解剖深度计算最佳针角的公式.
研究的目的:
- 分析脊椎麻醉相关的腰部区域的横向过程和持续囊深度之间的关系.
- 为了确定可行的平面垂直参数中位针插入当中线访问受到损害时.
主要方法:
- 十个ex vivo干部在曲下进行CT扫描,以评估横向过程和从L3到S1.1的持续囊深度之间的相关性.
- 在L3-L4和L4-L5检查了垂直的针插入平面,评估了中间路径可行性.
主要成果:
- 相对于长度囊,横向过程的位置从L3到S1.1有所不同.
- 在L3-L4和L4-L5水平下,中位针插入在20-30%的病例中是不可行的.
- 横向接入是可行的,可行的平面垂直测量7.9-8.7毫米;顶部横向过程与成功的插入平面相关.
结论:
- 在老年患者中,中线脊柱接入往往是不可行的.
- 顶部横流程是估计持续袋深度和中位针插入角度的宝贵地标.
- 这一里程碑在中间线方法失败时,有助于成功的垂直针插入.
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