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之前小编在后台收到不少关于骶丛阻滞的提问：怎么打？什么时候打？等等。今天，我们就从实际的病例切入，来讲讲骶丛阻滞在老年髋部骨折中的应用吧！
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不少细心读者已经发现，第一个视频是2015年录制的，迄今为止，髋部前外侧区域镇痛从腰丛阻滞>股神经阻滞>髂筋膜间隙阻滞>腹股沟韧带上髂筋膜间隙阻滞>髋关节囊周围神经阻滞不断更新迭代，但是髋部后方区域镇痛最常用的阻滞入路仍是骶骨旁入路的骶丛阻滞。她在髋部后方外周神经阻滞镇痛的地位依然无法撼动。
作者简介
参考文献
1.奈特人体解剖学（第七版）.
2.Cutaneous innervation of the lower limbs,2019,Wikipedia®.
3.Simons, MJ, Amin, NH, Cushner, FD, et al. Characterization of the Neural Anatomy in the Hip Joint to Optimize Periarticular Regional Anesthesia in Total Hip Arthroplasty. J Surg Orthop Adv. 2015; 24 (4): 221-4.
4.Desmet, M, Balocco, AL, Van Belleghem, V. Fascia iliaca compartment blocks: Different techniques and review of the literature. BEST PRAC RES-CL ANA. 2019; 33 (1): 57-66.
5.Zhan, L, Zhang, YJ, Wang, JX. Combined fascia iliaca compartment block and monitored anesthesia care for geriatric patients with hip fracture: Two case reports. World J Clin Cases. 2021; 9 (27): 8268-8273.
6.Yoshimura, M, Shiramoto, H, Koga, M, et al. Skin temperature changes after ultrasound-guided supra-inguinal fascia iliaca block: a prospective observational study. JA Clin Rep. 2021; 7 (1): 31.
7.Vermeylen, K, Soetens, F, Leunen, I, et al. The effect of the volume of supra-inguinal injected solution on the spread of the injectate under the fascia iliaca: a preliminary study. J ANESTH. 2018; 32 (6): 908-913.
8.Short, AJ, Barnett, JJG, Gofeld, M, et al. Anatomic Study of Innervation of the Anterior Hip Capsule: Implication for Image-Guided Intervention. REGION ANESTH PAIN M. 2018; 43 (2): 186-192.
9.Mansour NY. Reevaluating the sciatic nerve block: Another landmark for consideration[J]. Reg Anesth, 1993, 18(5):322‐323.
10.Ben‐Ari AY, Joshi R, Uskova A, et al. Ultrasound localization of the sacral plexus using a parasacral approach[J]. Anesth Analg,2009, 108(6): 1977‐1980.
11.邹锋,1肖静,陈军,王博,巩文怡.骶丛解剖与超声引导阻滞技术进展.国际麻醉学与复苏志,2021,42(05):515-518.
12.Wang AZ, Fan K, Zhou QH, et al. A lateral approach to ultrasound guided sacral plexus block in the supine position[J]. Anaesthesia, 2018, 73(8): 1043‐1044.
13.Strid JM, Pedersen EM, Al‐Karradi SN, et al. Real‐time ultrasound/mri fusion for suprasacral parallel shift approach to lumbosacral plexus blockade and analysis of injectate spread: An exploratory randomized controlled trial[J/OL]. Biomed Res Int,2017, 2017: 1873209.
14.Bendtsen, TF, Pedersen, EM, Haroutounian, S, et al. The suprasacral parallel shift vs lumbar plexus blockade with ultrasound guidance in healthy volunteers--a randomised controlled trial. ANAESTHESIA. 2014; 69 (11): 1227-40.
15.Arun Venkataraju , Madan Narayanan ,Sioned Phillips.Parasacral ischial plane (PIP) block: An easy approach to sacral plexus.Journal of Clinical Anesthesia 59 (2020) 103–105.
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