Montero Matamala A, Vidal Lopez F, Aguilar Sanchez J L, Donoso Bach L
Servicio de Anestesiologia y Reanimación, Unidad de tratamiento del Dolor, Hospital de Badalona, Barcelona, Spain.
Br J Anaesth. 1989 Jun;62(6):637-40. doi: 10.1093/bja/62.6.637.
A new approach is described to the neurolytic block of the coeliac plexus through the anterior abdominal wall using ultrasonic guidance. In nine patients, ultrasound was used for needle placement and examination of the spread of injection. Total pain relief was obtained in seven of the patients after 2 weeks and in five patients after 6 months. No serious complications were observed. The anterior approach is simple and useful in those patients with chronic pancreatic pain undergoing biopsy of the pancreas, and in those terminally ill or heavily sedated patients who have difficulty in tolerating the prone flexed position.
描述了一种通过前腹壁在超声引导下进行腹腔神经丛神经溶解阻滞的新方法。对9例患者使用超声进行穿刺针定位及注射扩散情况检查。2周后7例患者疼痛完全缓解，6个月后5例患者疼痛完全缓解。未观察到严重并发症。前入路对于接受胰腺活检的慢性胰腺疼痛患者，以及那些难以耐受俯卧位的晚期或深度镇静患者简单且有用。
