P was further developed and tested by Mcdonnell.РUltrasound-guided TAP was first described by Hebbard in 2007.РRafi AN. Anaesthesia. 2001,56(10):1024—1026? McDonnell JG,O’Donnell BD,FarrelI T.et al. Reg Anesth Pain Med,2007.32(5):399-404? Hebbard P.Anesth Analg,2008,106(2): 674—675Р提纲РTAP阻滞的历史РTAP平面的解剖学基础РTAP阻滞的操作方法РTAP阻滞在产科的应用РTAP阻滞的风险及不足РTAP阻滞技术的解剖学基础РTAP阻滞技术的解剖学基础РEO 腹外斜肌?IO 腹内斜肌?TA 腹横肌РJohn G. Mcdonnell, M .B., Reg Anesth Pain Med. 2007, 32:399-404РTAP阻滞技术的解剖学基础РThe lateral abdominal wall:? external oblique? internal oblique? transversus abdominisРNevers supplying the anterior ? abdominial wall are derived ? from T7 to L1 and pass through? the plane.РMark J, et al. Anesthesiology Resarch and Practice. 2012:11РTAP阻滞技术的解剖学基础Р尸检标本:左侧前腹壁? ? 剖面:腹横肌平面? ? 胸神经:节段性分布Р 蓝染: T8-T12 兰染,T10-T12 ? 浓集