Gu Yi, Qin Yifan, Wu Jin
Department of Anesthesiology, Affiliated Hospital of Jiangsu University, Zhenjiang, China.
Front Med (Lausanne). 2025 Jun 4;12:1612201. doi: 10.3389/fmed.2025.1612201. eCollection 2025.
Truncal fascial plane blocks (TFPBs), including erector spinae plane block (ESPB), quadratus lumborum block (QLB), transversus abdominis plane block (TAPB), and serratus anterior plane block (SAPB), are regional anesthesia techniques that achieves analgesia by injecting local anesthetics into a specific fascial planes of the trunk, which is primarily used for postoperative pain management or multimodal analgesia regimens. TFPBs reduce surgical site pain by blocking nerve conduction while decreasing reliance on systemic analgesics, such as opioids. This narrative review evaluates the analgesic efficacy and mechanisms of TFPB in non-surgical pain management, exploring their clinical value and future development prospects.
躯干筋膜平面阻滞(TFPBs),包括竖脊肌平面阻滞(ESPB)、腰方肌阻滞(QLB)、腹横肌平面阻滞(TAPB)和前锯肌平面阻滞(SAPB),是通过将局部麻醉药注射到躯干特定筋膜平面来实现镇痛的区域麻醉技术,主要用于术后疼痛管理或多模式镇痛方案。TFPBs通过阻断神经传导来减轻手术部位疼痛,同时减少对全身性镇痛药(如阿片类药物)的依赖。本叙述性综述评估了TFPBs在非手术疼痛管理中的镇痛效果和机制,探讨了它们的临床价值和未来发展前景。