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小儿包皮环切术的麻醉现状及超声引导会阴入路阴茎背神经阻滞的应用

陈万昌 刘金柱

医学信息2023,Vol.36Issue(23):180-183,4.
医学信息2023,Vol.36Issue(23):180-183,4.DOI:10.3969/j.issn.1006-1959.2023.23.045

小儿包皮环切术的麻醉现状及超声引导会阴入路阴茎背神经阻滞的应用

Anesthesia Status of Circumcision in Children and Application of Ultrasound-guided Dorsal Penile Nerve Block Via Perineal Approach

陈万昌 1刘金柱1

作者信息

  • 1. 天津市儿童医院麻醉科,天津 300134
  • 折叠

摘要

Abstract

Circumcision is often used for the treatment of redundant prepuce,which is a relatively short operation.However,the nerve terminal is rich in prepuce,causing intense pain during and after the operation,which may cause children to be agitated,crying,traumatic bleeding,etc.How to carry out perioperative analgesia has always been an important problem in clinical practice.Ultrasound-guided dorsal penile nerve block via perineal approach is an emerging analgesic method.With the assistance of ultrasound,the relative position of dorsal penile nerve and perineal nerve can be clearly displayed.At the same time,the diffusion state after anesthetic injection can be observed on the ultrasound image,but it has not been widely used in clinical practice.This paper summarizes the characteristics of pediatric circumcision,the current situation of ultrasound-guided peripheral nerve block in children,the application of peripheral nerve block combined with general anesthesia and ultrasound-guided perineal dorsal penile nerve block in pediatric circumcision,aiming to provide a theoretical basis for anesthesia and analgesia in pediatric circumcision.

关键词

超声引导/会阴入路/背神经阻滞/小儿包皮环切术

Key words

Ultrasound guidance/Perineal approach/Dorsal nerve block/Circumcision in children

分类

医药卫生

引用本文复制引用

陈万昌,刘金柱..小儿包皮环切术的麻醉现状及超声引导会阴入路阴茎背神经阻滞的应用[J].医学信息,2023,36(23):180-183,4.

医学信息

1006-1959

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