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KMID : 0363119940070020211
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Korean Journal of Pain
1994 Volume.7 No. 2 p.211 ~ p.216
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The Spread of Contrast Media in Celiac Plexus Block
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Abstract
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Celiac plexus block is performed to relieve intractable upper abdominal cancer pain. Generally, celiac plexus blocks have been performed under control of X-ray fluoroscopy to determine the position of the needle tip and the spread of contrast
media.
During the period from March 1992 to February 1994, we have performed 21 cases of neurolytic celiac plexus block to alleviate pain of intra-abdominal malignancy. We retrospectively evaluated the location of the nedle tip and the spread of
contrast
media.
P-A views of simple abdomen demonstrated the locations of the needle tip: 66.7% of the left needle tips were in upper 3/2 of L1 (6 cases) and T12-L1 interspace (8 cases), 50% of the right needle tips were in upper 1/3 of L1 (6 cases) and T12-L1
interspace (4 cases).
Contrast media from the right needle spread upward to middle 1/3 of T10 (5 cases) and middle 1/3 of T11 (5 cases), downward to middle 1/3 of L1 (6 cases) and lower 1/3 of L1 (3 cases). Contrast media from the left needle were spread upward to
middle 1/3
of T10 (5 cases) and evenly to other spaces, downward to middle 1/3 of L1 (4 cases) and L1-L2 interspace (6 cases).
We analyze the spread of contrast media according to distance from needle tip by author's score system. Contrast media of right needle spread upward 6.1 and downward 3.4. that of left needle spread upward 6.5 and downward 3.7.
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