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.