椎板后路阻滞与竖脊肌平面阻滞的区别及临床应用

Differentiation and clinical application of retrolaminar block and erector spinae plane block

摘要:

椎板后路阻滞与竖脊肌平面阻滞是近年发现的新型区域阻滞，此2 种阻滞方式皆被报道为椎旁 阻滞的改良技术，并逐渐应用于各类手术的围手术期镇痛。尽管穿刺部位相似，但目前国内外缺乏两者比较 的临床对照研究。区别于以往区域阻滞技术，该文从解剖结构、作用机制、临床应用等方面对椎板后路阻滞 与竖脊肌平面阻滞进行总结及比较，旨在探讨两者的临床应用特点及未来发展方向。

Abstract:

Retrolaminar block (RLB) and erector spine plane block (ESPB) are two new types of regional block found in recent years. Both blocks have been reported as improved techniques of paravertebral block (PVB), and gradually applied to perioperative analgesia of various types of surgery. Although the puncture sites are similar, no clinical studies comparing RLB and ESPB are reported at home and abroad. In order to distinguish them from previous regional block techniques, this review will summarize and compare RLB and ESPB in terms of anatomy, mechanism and clinical application, aiming at discussing their clinical application characteristics and development direction.