超声下TAPB联合RSB在减重手术中的应用

Journal: Basic Medical Theory Research DOI: 10.12238/bmtr.v3i2.4172

刘淘1, 李秀华2, 陈长峰1

1. 华北理工大学
2. 唐山市工人医院

Abstract

随着腹腔镜技术和代谢手术的发展,越来越多的肥胖患者接受了代谢手术。腹腔镜胃袖状切除术(LSG)因其相对简单安全的技术和良好的减肥代谢效果而成为最常见的减肥手术。但由于肥胖患者的病理生理改变,术后恶心呕吐、心脏缺血,甚至心肌梗死和呼吸道并发症的风险增加。如何促进术后早期恢复成为临床研究的重点。有研究表明,超声引导下腹横肌平面阻滞(TAPB)和腹直肌鞘阻滞(RSB)可减轻腹部术后疼痛,减少镇痛药物的使用,从而促进患者术后早期恢复[1,2]。然而,TAPB和RSB 在腹腔镜袖状胃切除术中的作用尚无报道。本文就腹横肌平面阻滞和腹直肌鞘阻滞在腹腔镜袖状胃切除术中的应用作一综述。

Keywords

袖状胃切除术;腹横肌平面阻滞;腹直肌鞘阻滞

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