局解手术学杂志2024，Vol.33Issue(7)：571-575,5.DOI:10.11659/jjssx.07E023093
C7横突入路星状神经节阻滞的超声解剖研究及临床应用
Ultrasonic anatomical study and clinical application of stellate ganglion block via C7 transverse process
摘要
Abstract
Objective To investigate the high-frequency ultrasonic anatomical features of the adjacent C7 transverse process and its clinical value in stellate ganglion block(SGB).Methods High-frequency ultrasound was applied to obtain ultrasonographic anatomical sonogram features in the plane of bilateral C7 transverse processes in 52 cases(104 sides in total)of healthy adults and then stored for the operator to learn and correctly label each tissue structure.Fifty patients who underwent ultrasound-guided SGB were selected and divided into the BC7 group(25 cases before study)and AC7 group(25 cases after study).The operation time,SGB success rate,number of adjusted needle tips,dosage of anaesthetic and adverse reaction of patients in both group were recorded.Results The main muscles observed in the C7 plane were the longissimus and anterior scalene muscles,the ultrasonographic anatomical relationships of the vagus nerve located in the carotid sheath,the pleura located posterior to the subclavian artery,and the recurrent laryngeal nerve located in the vicinity of the branches of the inferior thyroid artery are described,and the stellate ganglion was illustrated as a flattened hypoechogenic structure visible on the deep surface of the prevertebral fascia in the region of the external cervical longissimus muscle,vertebral artery and vein,and the medial aspect of the anterior oblique muscle,and emanated the sonographic features of several hypoechoic nerve bundles.Ultrasound guided SGB was completed uneventfully in patients of both groups,and all patients developed Horner syndrome,with the SGB success rate of 100%.The operation time[(5.36±1.11)minutes]of patients in the BC7 group was longer than that in the AC7 group[(3.08±0.86)minutes],the number of adjusted needle tips[(4.20±1.00)times]of patients in the BC7 group was more than that in the AC7 group[(2.24±0.87)times],and the dosage of anaesthetic[(1.82±0.28)mL]of patients in the BC7 group was more than that in the AC7 group[(1.64±0.22)mL],all the differences were statistically significant(P<0.05).There was no significant difference in the incidence of adverse reaction between the two groups(P>0.05).Conclusion After ultrasonic learning of adjacent structures through C7 transverse process,SGB is safe and easy to perform.关键词
高频超声/星状神经节阻滞/C7横突/安全性Key words
high-frequency ultrasound/stellate ganglion block/C7 transverse process/safety分类
医药卫生引用本文复制引用
胡爱丽,汪珺莉,储小爱,陈节庆,查宗煜,鲁大胜,夏秦仲..C7横突入路星状神经节阻滞的超声解剖研究及临床应用[J].局解手术学杂志,2024,33(7):571-575,5.基金项目
国家自然科学基金项目(81800445) （81800445）
芜湖市卫健委科研项目(WHWJ2021y049) （WHWJ2021y049）
皖南医学院第二附属医院院内项目(Y22008) （Y22008）
