超声引导下C7星状神经节阻滞可行性研究  

The feasibility of ultrasound-guided C7 approach for stellate ganglion block

作　　者：林海[1] 王娇[1] 李珮[1] 彭宇[1] 金元[1] 张钧凯[1] 皮治兵[1] LIN Hai;Wang Jiao;Li Pei;Peng Yu;Jin Yuan;Zhang Junkai;Pi Zhibing(Department of Pain Medicine, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325015)

机构地区：[1]温州医科大学附属第一医院疼痛科,浙江温州325015

出　　处：《温州医科大学学报》2016年第11期826-829,共4页Journal of Wenzhou Medical University

摘　　要：目的:探讨超声引导下C7水平星状神经节阻滞(SGB)前外侧入路的可行性。方法:在尸体上行超声引导下C7水平入路星状神经节美蓝注射,解剖观察其浸润部位;对20名住院患者行超声引导下C7水平SGB,注射局麻药与造影剂的混合液4 m L,并进行CT三维重建,观察扩散范围、成功率及并发症。结果:尸体解剖显示C7水平椎前筋膜之下、颈长肌前外侧缘注射的美蓝,准确浸润交感干;CT三维重建显示4 m L药液可扩散至C3-T1水平甚至T2水平;而超声引导下C7入路SGB成功率达100%,1例发生短暂性声嘶。结论:超声引导下C7水平SGB是一种安全有效的阻滞方法。Objective: To investigate the feasibility of ultrasound guided antero-lateral approach of stellateganglion block at C7 level. Methods: Infiltration site by methylene blue was observed after stellate ganglionblock underwent by ultrasound on the cadaver. Meanwhile, 20 in-patient cases who underwent ultrasound guidedstellate ganglion block at C7 level were included. After administration of 4 mL (mixed with contrast agent) localnacrotic drug followed by 3D-CT reconstruction, the diffusion range, therapeutic effect and complications wererecorded. Results: When injecting into the space between inferior of prevertebral fascia and anteriolateral of longuscolli muscle at C7 level, methylene blue had satisfactory infiltration on sympathetic trunk in autopsy. 3D-CTreconstruction showed that 4 mL of local nacrotic drug could spread to C3-T1 and even to T2 level. Ultrasoundguided stellate ganglion block at C7 level showed perfect effect without failure, as well as 1 case of transienthoarseness. Conclusion: Ultrasound-guided stellate ganglion block at C7 level was a safe and effective approach.

关 键 词：超声引导 入路 星状神经节 神经阻滞 

分 类 号：R614.1[医药卫生—麻醉学]