摘要
目的：为提高腹腔神经丛穿刺阻滞的成功率、减少并发症提供形态学基础。方法：在１８具成人尸体腹部横断层标本上对腹腔神经丛的位置、毗邻，穿刺部位、角度、深度进行观测。结果：腹腔神经丛平对胸十二至腰－椎体高度者为９４．４％。该丛最佳显示层面为腹部第九横断层面。腹腔神经丛左、右穿刺点距后正中线分别为４．０±０．６ｃｍ；５．９±１．１ｃｍ，穿刺角度分别为１４．０°±４．５°；２８．８°±３．７°，穿刺深度为９．７±１．１ｃｍ；１１．６±１．４ｃｍ。结论：穿刺点应选在第十二胸椎棘突下缘，中线向外旁开左４ｃｍ、右６ｃｍ处。穿刺角度较大时易损伤主动脉、腰升静脉、脊神经，反之易损伤肾。
Objective:To provide anatomic basis for the percutaneous celiac neuropuncture.Methods:The position and syntopy of the celiac plexus,the percutaneous puncture spot,depth and angle were observed in 18 adult abdorminal transective specimens.Results:94.4% celiac plexus was on the level of T 12 ～L 1 vertebral body,and could be exposed to view best at the ninth abdomic transeverse plane.The left and right punctive point thould be 4.0±0.6 cm and 5.9±1.1 cm from the midline respectiviely.The left and right needle are directed 14.0±4.58° and 28.8±3.78° from sagittal plane.The depth of puncture were 9.7±1.4 cm and 11.6±1.4 cm separately.Conclusions:The puncture spot should be choiced below T 12 lumbar spinal process,4 cm at left and 6 cm at right away from the midline.The abdomial aorta,ascending lumbar vein and lumbar nerve are intended to be damaged if the puncture angle is larger.On the contrary,the suprarenal gland kidney and inferior vena cava may be damaged.
出处
《中国临床解剖学杂志》
CSCD
北大核心
1998年第4期331-333,共3页
Chinese Journal of Clinical Anatomy
