浙江医学2017，Vol.39Issue(10)：790-792,3.DOI:10.12056/j.issn.1006-2785.2017.39.10.2017-602
小儿腋路臂丛神经的超声解剖及应用研究
Ultrasonic anatomical characteristics of axillary brachial plexus nerve in children and its clinical application
摘要
Abstract
Objective To explore the ultrasonic anatomical characteristics of axillary brachial plexus nerves in children and its clinical application.Methods One hundred children undergoing selective hand or forearm operation were randomly divided into two groups with 50 in each.In study group the ultrasonic visualization technology was applied for anatomical structure of axillary brachial plexus,and the axillary brachial plexus nerves block was performed under ultrasound guidance and nerve stimulator positioning,while in control group only the conventional nerve stimulator positioning was applied.In both groups 0.2％ ropivacaine was administrated for axillary brachial plexus nerve block anesthesia.The anesthesia effect,tourniquet reaction,axillary sheath hematoma and nerve damage were observed in compared between two groups.Results In 2 cases of study group the musculocutaneous nerves were not detected in axilla,when sliding probe to the remote position,the nerves dominated the beak brachial muscle were found.The anesthesia effect in study group was significantly higher than that in control group (P＜0.05).There were no significant differences in the incidence of tourniquet reaction and axillary sheath hematoma,and operation time between two groups (all P ＞0.05).Conclusion Ultrasound-guided nerve stimulator can be applied in axilary brachial plexus block anesthesia for young children with safety and reliability.关键词
超声解剖/腋路臂丛神经/小儿麻醉Key words
The ultrasonic anatomical/Axillary brachial plexus nerves/Pediatric anesthesia引用本文复制引用
张敏,刘志亚,李清平,郭健军,姜德欣..小儿腋路臂丛神经的超声解剖及应用研究[J].浙江医学,2017,39(10):790-792,3.基金项目
舟山市医药卫生科技计划项目(2015B13) （2015B13）
舟山市医学重点学科资助项目(2016A06) （2016A06）
