超声引导下C7星状神经节阻滞可行性研究

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Abstract Objective: To investigate the feasibility of ultrasound guided antero-lateral approach of stellate ganglion block at C7 level. Methods: Infiltration site by methylene blue was observed after stellate ganglion block underwent by ultrasound on the cadaver. Meanwhile, 20 in-patient cases who underwent ultrasound guided stellate ganglion block at C7 level were included. After administration of 4 mL (mixed with contrast agent) local nacrotic drug followed by 3D-CT reconstruction, the diffusion range, therapeutic effect and complications were recorded. Results: When injecting into the space between inferior of prevertebral fascia and anteriolateral of longus colli muscle at C7 level, methylene blue had satisfactory infiltration on sympathetic trunk in autopsy. 3D-CT reconstruction showed that 4 mL of local nacrotic drug could spread to C3-T1 and even to T2 level. Ultrasound guided stellate ganglion block at C7 level showed perfect effect without failure, as well as 1 case of transient hoarseness. Conclusion: Ultrasound-guided stellate ganglion block at C7 level was a safe and effective approach.

Key words： ultrasound-guided approach stellate ganglion nerve block

Received: 11 January 2016

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	LIN Hai
	Wang Jiao
	Li Pei
	Peng Yu
	Jin Yuan
	Zhang Junkai
	Pi Zhibing.

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https://xb.wmu.edu.cn/EN/ OR https://xb.wmu.edu.cn/EN/Y2016/V46/I11/826

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