Mattia C, Laurenzi L, Caratozzolo M, Carassiti M, Scardella L, Pinto G
Istituto di Anestesiologia e Rianimazione, Università degli Studi di Roma La Sapienza.
Minerva Anestesiol. 1993 Apr;59(4):193-9.
The authors report the use of ultrasound as a guide to the execution of celiac plexus alcoholization with the anterior approach. Five patients with severe pain resistant to pharmacologic treatment with NSAID, cortisone and morphine have been treated. Once found out the celiac trunk and the best direction, using ultrasound, the needle is advanced slowly beyond the anterior lateral wall of the aorta, in order to recognize the tip with the same ultrasound response of the retroperitoneal tissue. After calculating the distance between the celiac trunk and the needle tip, this is withdrawn in order to be set in the alcoholization point of injection. No complication directly related to the technique has been observed in the five patients. Pain relief was optimal in four out of five patients and was kept until the exitus.
作者报告了使用超声引导经前路进行腹腔神经丛酒精注射的情况。对5例使用非甾体抗炎药、皮质类固醇和吗啡进行药物治疗后仍有严重疼痛的患者进行了治疗。使用超声一旦找到腹腔干及其最佳进针方向，将针缓慢推进至主动脉前外侧壁之外，以便通过与腹膜后组织相同的超声反应来识别针尖。在计算出腹腔干与针尖之间的距离后，将针撤回以调整至酒精注射点。这5例患者均未观察到与该技术直接相关的并发症。5例患者中有4例疼痛缓解情况最佳，且一直持续到死亡。
