Mishra S, Bhatnagar S, Gupta D, Thulkar S
Department of Anesthesiology, Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
Anaesth Intensive Care. 2008 Sep;36(5):732-5. doi: 10.1177/0310057X0803600518.
The hypogastric plexus block is classically performed by a posterior approach, but there are recent reports of a computed tomography-guided anterior approach for patients who have difficult access to the hypogastric plexus by the posterior approach. We present two patients who were successfully given ultrasound-guided superior hypogastric plexus block by an anterior approach. The anterior ultrasound-guided superior hypogastric plexus neurolysis technique is simple to perform. We believe this block can be useful in cancer patients who are having difficulty in lying prone, because it is a bedside procedure performed in the supine position and it is less time-consuming. It also avoids the radiation exposure involved with a computed tomography-guided anterior approach.
传统上，腹下丛阻滞是通过后路进行的，但最近有报道称，对于那些通过后路难以触及腹下丛的患者，可采用计算机断层扫描引导下的前路方法。我们报告了两名患者，他们通过前路成功接受了超声引导下腹下丛阻滞。前路超声引导下腹下丛神经松解技术操作简单。我们认为这种阻滞方法对那些俯卧困难的癌症患者可能有用，因为它是在仰卧位进行的床边操作，耗时较少。它还避免了计算机断层扫描引导下前路方法所涉及的辐射暴露。
