Yamauchi Masanori, Honma Eiji, Mimura Mitsuko, Yamamoto Hiroki, Takahashi Emi, Namiki Akiyoshi
Department of Anesthesiology, Sapporo Medical University School of Medicine, Sapporo 060-8543, Japan.
J Anesth. 2006;20(3):231-3. doi: 10.1007/s00540-006-0406-9.
A spinal block was performed in a post-laminectomy patient, using both ultrasound imaging and X-ray imaging. Ultrasound imaging clearly identified the L3/4 intervertebral level, the spinal canal, the corpus vertebrae, and the dura mater. Using ultrasound imaging, we measured the distance from the skin surface to the dura mater (39 mm). A 25-G needle for the spinal block was accurately advanced into the spinal canal with the use of X-ray imaging (43 mm from the skin to the subarachnoid space). We report here that ultrasound imaging was useful for performing a spinal block in a post-laminectomy patient in whom there was anatomical change around the spine.
在一名椎板切除术后患者身上进行了脊髓阻滞，同时使用了超声成像和X射线成像。超声成像清晰地识别出L3/4椎间水平、椎管、椎体和硬脑膜。通过超声成像，我们测量了皮肤表面到硬脑膜的距离（39毫米）。使用X射线成像，将一根用于脊髓阻滞的25G针准确地推进到椎管内（从皮肤到蛛网膜下腔为43毫米）。我们在此报告，超声成像对于在脊柱周围存在解剖结构改变的椎板切除术后患者中进行脊髓阻滞是有用的。
