Karm Myong-Hwan, Cho Hyun-Seok, Lee Jae-Young, Bae Heon-Yong, Ahn Ho-Soo, Kim Yeon Ju, Leem Jeong-Gil, Choi Seong-Soo
Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Medicine (Baltimore). 2016 Jul;95(27):e4106. doi: 10.1097/MD.0000000000004106.
Although percutaneous transhepatic biliary drainage (PTBD) and tract dilatation (TD) are very painful procedures, almost all of those procedures have been conducted under local anesthesia and opioid injection due to the lack of manpower and time. Celiac plexus block (CPB) is an interventional technique used for diagnostic and therapeutic purposes in the treatment of abdominovisceral pain. CPB decreases the side effects of opioid medications and enhances analgesia from medications. We present the case of a patient who underwent PTBD and TD under CPB in order to reduce procedure-related abdominal pain.CPB can be a useful alternative technique for pain management during and after biliary interventional procedures, although CPB-induced complications must always be kept in mind.
尽管经皮经肝胆道引流（PTBD）和通道扩张（TD）是非常痛苦的操作，但由于人力和时间的缺乏，几乎所有这些操作都是在局部麻醉和注射阿片类药物的情况下进行的。腹腔神经丛阻滞（CPB）是一种用于诊断和治疗腹腔内脏疼痛的介入技术。CPB可减少阿片类药物的副作用并增强药物镇痛效果。我们报告一例患者在CPB下接受PTBD和TD以减轻与操作相关的腹痛。CPB可以是胆道介入操作期间及术后疼痛管理的一种有用替代技术，尽管必须始终牢记CPB引起的并发症。
