Ultrasonic Guidance of Lumbar Sympathetic and Celiac Plexus Block: A New Technique
Ultrasonic Guidance of Lumbar Sympathetic and Celiac Plexus Block: A New Technique
复制标题
超声引导腰交感神经和腹腔神经丛阻滞：一项新技术
DOI：
10.1136/rapm-00115550-199217010-00009
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发表时间：
1991
影响因子：
5.1
通讯作者：
N. Lundbom
中科院分区：
文献类型：
--
作者：
O. Kirvelä;E. Svedström;N. Lundbom
背景和目标。腰交感神经和腹腔神经丛阻滞被广泛用于治疗各种病因的慢性疼痛。为了避免并发症并确认针的正确位置，荧光透视和计算机断层扫描已用于视觉跟踪程序。我们的目的是检查是否可以使用超声检查来代替这些技术。方法. 48神经毁损交感神经切除术进行超声引导。结果进行了临床评价，并通过彩色多普勒技术适用。结果这项新技术在确保针头安全通过和记录神经溶解剂（苯酚-甘油）正确扩散方面显示出优异的结果。在所有病例中，第一次尝试时均实现了穿刺针的正确位置。结论.这种技术的好处是它便宜，没有辐射，并且可以在手术前后彻底检查所涉及的解剖结构。由于酚甘油具有良好的对比度，因此它可能是最佳的神经溶解剂。
Background and Objectives. Lumbar sympathetic and celiac plexus block are widely used to treat chronic pain of diverse etiologies. To avoid complications and confirm the correct position of the needle, fluoroscopy and computed tomography have been used to follow the procedure visually. Our objective was to examine whether ultrasonography could be used instead of these techniques. Methods. Forty-eight neurolytic sympathectomies were performed using ultrasonographic guidance. The results were evaluated clinically and by color-doppler technique as applicable. Results. This new technique was shown to provide excellent results in ensuring the safe passage of the needle and documenting the correct spread of neurolytic agent (phenol-glycerol). The correct position of the needle was achieved on the first attempt in all cases. Conclusions. The benefits of this technique are that it is inexpensive, there is no radiation, and the anatomy involved can be thoroughly examined before and after the procedure. Phenolglycerol may be the best choice as the neurolytic agent because it provides excellent contrast.