Yamagami H, Yuda Y, Shiotani M, Ooseto K, Naganuma Y, Karasawa H
Masui. 1989 Feb;38(2):229-35.
Continuous epidural block is often used for the treatment of pain. But there have been unsuccessful cases by the routine blind method. We devised a modified method of administering continuous epidural block under prone position with fluoroscopic guidance. The purpose of this study was to evaluate the utility of our modified method. There were 18 cases with pain of lumbar region and 28 cases of thoracocervical region in whom it was not possible to obtain successful control of pain by routine method. By our method, 14 cases (77.8%) with pain of lumbar region and 24 cases (85.7%) of thoracocervical region had effective epidural catheterization. There was no complication. As unsuccessful cases were accompanied with epidural adhesion or psychological disease, they might have no indication for continuous epidural block.
连续硬膜外阻滞常用于疼痛治疗。但常规盲目法存在失败病例。我们设计了一种在俯卧位透视引导下进行连续硬膜外阻滞的改良方法。本研究旨在评估我们改良方法的实用性。有18例腰椎疼痛患者和28例胸颈段疼痛患者，常规方法无法成功控制疼痛。采用我们的方法，14例（77.8%）腰椎疼痛患者和24例（85.7%）胸颈段疼痛患者硬膜外置管有效。无并发症发生。由于失败病例伴有硬膜外粘连或心理疾病，他们可能不适合连续硬膜外阻滞。
