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英文誌(2004-)

Journal of Medical Ultrasonics

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1987 - Vol.14

Vol.14 No.01

Original Article(原著)

(0046 - 0053)

超音波ガイド下腹腔神経叢ブロックによる疼痛治療の検討

Evaluation of Ultrasonically Guided Celiac Plexus Block for Intractable Abdominal Pain

本田 伸行1, 横井 浩2, 藤田 いずみ3, 松尾 尚樹3, 中井 俊夫3, 平井 都始子1, 大石 元1, 打田 日出夫1, 山下 浩4, 伊藤 健一5

Nobuyuki HONDA1, Hiromu YOKOI2, Izumi FUJITA3, Naoki MATSUO3, Toshio NAKAI3, Toshiko HIRAI1, Hajime OHISHI1, Hideo UCHIDA1, Hiroshi YAMASHITA4, Ken-ichi ITO5

1奈良県立医科大学放射線科, 2日生病院超音波検査部, 3日生病院放射線科, 4奈良県立医科大学麻酔科, 5拓殖大学

1Department of Radiology, Nara Medical University, 2Department of Diagnostic Ultrasound, Nissei Hospital, 3Department of Radiology, Nissei Hospital, 4Department of Anesthesiology, Nara Medical University, 5Takushoku University

キーワード : Ultrasound, Ultrasonically guided puncture, Pain clinic, Celiac plexus block

It is well known that celiac plexus block is very effective for the intractable upper abdominal pain due to abdominal malignancy or pancreatitis. Celiac plexus block by ultrasonically guided puncture to locate a needle tip to the retrocrural space or anterolateral side of the abdominal aorta was performed in 13 cases who had intractable pain due to abdominal malignancies.
Test block with local anesthetic drug containing contrast medium was followed by the permanent block using absolute ethanol (10∼30 ml). This ultrasonically guided procedure is useful to avoid complications puncturing the lung, kidney or other visceral organs and recommended more frequently. Celiac plexus block can be made easily and safely by this new technique and should be adopted before prescribing narcotic agents.