颈上交感神经节相对于颈总动脉分叉位置的热图。
A heat map of superior cervical ganglion location relative to the common carotid artery bifurcation.
机构信息
Department of Pathology and Laboratory Medicine, University of California, Los Angeles, CA 90095-1732, USA.
出版信息
Anesth Analg. 2012 Feb;114(2):462-5. doi: 10.1213/ANE.0b013e31823b676d. Epub 2011 Nov 21.
BACKGROUND
Determining the superior cervical ganglion's precise anatomical location for local anesthetic block, when stellate block is not feasible or is contraindicated, is difficult.
METHODS
We dissected the superior cervical ganglion in 60 embalmed cadaveric specimens. Multiple regressions determined whether subject characteristics predicted the distance between the superior cervical ganglion and common carotid artery bifurcation and the superior cervical ganglion dimensional width and area. Based on these regressions, we mapped the ganglion and common carotid artery bifurcation using a pseudocolor statistical heat map.
RESULTS
The statistical model significantly predicted the superior cervical ganglion-common carotid artery bifurcation distance (P = 0.01), and the superior cervical ganglion dimensional width (P = 0.02).
CONCLUSION
This study determined that the common carotid artery bifurcation is a good landmark for localizing the superior cervical ganglion for anesthetic block.
背景
当星状神经节阻滞不可行或禁忌时，确定颈上神经节的精确解剖位置以进行局部麻醉阻滞较为困难。
方法
我们对 60 具防腐尸体标本进行了颈上神经节解剖。多元回归分析确定了受试者特征是否可以预测颈上神经节与颈总动脉分叉之间的距离，以及颈上神经节的维度宽度和面积。基于这些回归，我们使用伪彩色统计热图对神经节和颈总动脉分叉进行了映射。
结果
统计模型显著预测了颈上神经节-颈总动脉分叉距离（P = 0.01）和颈上神经节维度宽度（P = 0.02）。
结论
本研究确定颈总动脉分叉是定位颈上神经节进行麻醉阻滞的良好标志。
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