【作者】 王英；

【导师】 王寿勇；

【作者基本信息】 重庆医科大学 ， 麻醉学（专业学位）， 2017， 硕士

【摘要】 腹横肌平面阻滞(transversus abdominis plane block,TAPB)可减轻腹部手术患者的术后疼痛,减少术后阿片类药物的使用,提高患者的舒适感,在临床上可广泛应用于肝脏、胆管、胃肠道以及盆腔等腹部手术后的辅助镇痛。传统的TAPB依靠对神经走行解剖特点和体表定位标志来进行,对个人操作经验要求很高,成功率受到严重限制。而超声辅助技术引入后,对提高TAPB的准确性和安全性具有很大的帮助,操作者训练周期大大缩短,准确率也有显著提高。本文主要从腹横肌平面的解剖结构、传统的阻滞方法、超声引导下的阻滞方法、局麻药种类和剂量选择、禁忌症与并发症等方面进行综述。更多还原

【Abstract】 Transversus abdominis plane block(TAPB)is considered a promising new method of regional anesthesia,which can improve analgesic efficacy and reduce the dose requirements for single agents for the patients undergoing the abdominal surgery.Recently,this technique is gaining wide acceptance in the abdominal operations,such as liver surgery,biliary tract surgery,gastrointestinal tract operation,pelvic operation and so on.Traditionally,TAPB has been performed by relying on landmark identification of nerves,which required rich personal experience for anesthesiologists and had a low success rate.The application of ultrasound guidance in TAP block increase the accuracy of injection and decrease the risk of injury to surrounding structures,besides the training period of this technique is greatly reduced for anesthesiologists.We describe in this article,the anatomy of transversus abdominis plane,the ultrasound guidance technique for TAPB,the anesthetic agent and its dose/concentration and volume of injection,the application of thistechnique and its Indications and contra-indications.更多还原