南方医科大学学报 ›› 2014, Vol. 34 ›› Issue (04): 538-.

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改良的经兔脊柱旁入路腹腔注射方法

吕田明,凌容,潘志勇,梁彦珊,史翠丽,黄小玉   

  • 出版日期:2014-04-20 发布日期:2014-04-20

Intraperitoneal injection via a paravertebral approach in rabbits

  • Online:2014-04-20 Published:2014-04-20

摘要: 目的探讨简单、方便、可靠、安全的兔经脊柱旁入路腹腔注射方法。方法将60只新西兰兔随机分为两组,分别采用常规
入路和改良的经脊柱旁入路进行腹腔注射。常规组注射部位为腹中线两侧平脐旁开3~4 cm;改良组的注射部位为背部第5~6
腰椎平面右侧中线旁开3~4 cm处。常规组与改良组穿刺后注射前进行腹部CT扫描。所有兔腹腔注射24 h后处死进行腹腔局
部解剖。结果采用常规入路进行腹腔注射的20 只新西兰兔有13 只一次性成功穿刺,有7 只需穿刺2 次以上,平均秩和为
23.50;采用改良方法进行腹腔注射的40只新西兰兔均一次性穿刺成功,平均秩和为34.00。两组间有显著性差异(P<0.01)。两
组间的一次注射成功率亦有显著差异性(P<0.01)。CT扫描和腹腔局部解剖均显示改良组穿刺点距离肝脏、肾脏、膀胱和大血
管等重要器官均较远。腹腔局部解剖显示改良组腹腔内充血和渗出等炎症反应较常规组少。结论改良的经脊柱旁入路腹腔
穿刺方法操作简单、方便、可靠、安全,是一种值得推广的腹腔注射方法。

Abstract: Objective To explore a simple and reliable method for intraperitoneal injection through a paravertebral approach in
rabbits. Methods Sixty New Zealand rabbits were randomized into conventional group and modified groups to receive
intraperitoneal injections through conventional and paravertebral approaches, respectively. In the conventional group, the
injection site was on the abdominal wall 3~4 cm lateral from the umbilicus bilaterally, while that in the modified group was
located dorsally at L5/L6 level 3-4 cm lateral from the midline. Abdominal CT scan was performed in the post-injection rabbits,
which were sacrificed after 24 h for abdominal dissection. Results Success with a single puncture was achieved in 13 out of the
20 rabbits in the conventional group, and the rest required at least two punctures, with a mean rank sum of 23.50. With the
modified approach, a single attempt was successful in all the 40 rabbits, with a mean rank sum of 34.0, showing a significant
difference between the two groups (P<0.01). The success rates of a single injection differed significantly between the two
groups (P<0.01). CT scan and abdominal dissection showed that the injection site with the modified approach was far away
from the vital organs and large vessels with less peritoneal hyperemia and exudation. Conclusion Paravertebral
intraperitoneal paracentesis is a convenient and reliable method for intraperitoneal injection in rabbits.