超声引导罗哌卡因前锯肌平面阻滞胸壁镇痛研究进展

Research progress of ultrasound-guided serratus anterior plane block for analgesia

随着加速康复外科理念的提出和超声可视化技术的进展,超声引导区域阻滞由于对内环境干扰小,目前已成为围术期多模式镇痛的重要组成部分。前锯肌平面阻滞(SAPB)作为新出现的区域筋膜阻滞,一直被大量学者所研究。为了更好地理解和应用超声引导罗哌卡因前锯肌平面阻滞技术,现将超声引导SAPB的由来、解剖、超声技术、罗哌卡因临床用药效果以及与传统阻滞相比的优缺点方面的研究进展进行综述。

With the proposal of the concept of enhanced recovery after surgery and the development of ultrasound visualization technology,ultrasound-guided regional block,with its small interference with internal environment,has become an important part of perioperative multimodal analgesia.Serratus anterior plane block(SAPB),as a new regional fascia block,has been studied by a large number of scholars.In order to better understand and apply the ultrasound-guided plane block technique of the anterior serratus muscle,the origin,anatomy,ultrasound technique,clinical effect of ropivacaine and its advantages and disadvantages in comparison with traditional block techniques are reviewed.