改良经肋软骨膜入路胸腹神经阻滞的研究进展
Research Advances in Modified Thoracoabdominal Nerves Block through Perichondrial Approach
DOI: 10.12677/acm.2025.154913, PDF,   
作者: 陈官涛：大理大学临床医学院，云南 大理；杨永菊：云南省滇东北中心医院麻醉科，云南 昭通；张 敏, 刘 云, 吕建鸿, 唐玲玲*：云南省第三人民医院麻醉科，云南 昆明
关键词: 改良经肋软骨入路胸腹神经阻滞；多模式镇痛；超声引导；神经阻滞；腹部手术；Modified Thoracoabdominal Nerves Block through Perichondrial Approach； Multimodal Analgesia； Ultrasound Guidance； Nerve Block； Abdominal Surgery
摘要: 改良经肋软骨膜入路胸腹神经阻滞(modified thoracoabdominal nerves block through perichondrial approach, M-TAPA)是一种为腹部手术提供良好镇痛的筋膜平面阻滞技术，有研究表明M-TAPA可以有效减轻各类腹部手术围术期疼痛，是围术期多模式镇痛的新选择。本文回顾近年来国内外对超声引导下M-TAPA的研究，对其解剖定位、作用机制、用药选择、阻滞范围、临床应用及技术优势等方面进行综述，旨在为临床应用提供参考。
Abstract: The modified thoracoabdominal nerves block through perichondrial approach (M-TAPA) is a fascial plane block technique that offers effective analgesia for patients undergoing abdominal surgery. Research indicates that M-TAPA can significantly reduce perioperative pain in a variety of abdominal procedures, presenting itself as a new option for multimodal analgesic regimens in the perioperative period. This article conducts a comprehensive review of recent domestic and international studies on ultrasound-guided M-TAPA, elucidating its anatomical landmarks, mechanism of action, pharmacological considerations, block extent, clinical applications, and technical benefits. The aim is to serve as a valuable resource for clinicians considering the integration of this technique into their practice.
文章引用：陈官涛, 杨永菊, 张敏, 刘云, 吕建鸿, 唐玲玲. 改良经肋软骨膜入路胸腹神经阻滞的研究进展[J]. 临床医学进展, 2025, 15(4): 155-162. https://doi.org/10.12677/acm.2025.154913

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