Biscoping J, Müller U, Ratthey K, Hempelmann G
Z Orthop Ihre Grenzgeb. 1986 Jan-Feb;124(1):112-3. doi: 10.1055/s-2008-1044534.
In 13 patients scheduled for intradiscal therapy with chymopapain we performed continuous lumbar epidural anaesthesia as a method of intra- and postoperative pain relief. In all patients epidural anaesthesia provided a sufficient analgesia by the use of bupivacaine 0.75% intraoperatively. In contrast to chemonucleolysis under general anaesthesia only half of the patients needed postoperative pain therapy, which was achieved by the epidural injection of bupivacaine 0.25%.
对于13例计划接受木瓜凝乳蛋白酶椎间盘内治疗的患者,我们采用连续腰段硬膜外麻醉作为术中和术后缓解疼痛的方法。所有患者术中使用0.75%布比卡因,硬膜外麻醉均提供了充分的镇痛效果。与全身麻醉下的化学髓核溶解术不同,只有一半的患者术后需要疼痛治疗,通过硬膜外注射0.25%布比卡因得以实现。