Study of ultrasound parameters and clinical value of stellate ganglion block based on C6 and C7 pathway
CHU Xiaoai1 WANG Junli1 HU Aili1 LU Dasheng2 XIA Qinzhong2▲#br#
1.Department of Ultrasound Medicine, Wuhu Hospital, East China Normal University Wuhu Second People’s Hospital, Anhui Province, Wuhu 241000, China; 2.Department of Intervention and Cardiology, the Second Affiliated Hospital of Wannan Medical College, Anhui Province, Wuhu 241000
Abstract：Objective To investigate the clinical application value of stellate ganglion block (SGB) based on C6 and C7 transverse process approach. Methods A total of 108 healthy subjects who underwent cervical ultrasound examination in Wuhu Hospital Affiliated to East China Normal University from June 2021 to November 2022 were selected, ultrasonic data of C6 and C7 transverse process simulated puncture were recorded. Forty-five patients with ultrasound-guided SGB in the Second Affiliated Hospital of Wannan Medical College from August 2021 to October 2022 were selected as the study objects, the patient received SGB based on C6 and C7 transversal process approach. The puncture success rate, SGB success rate, visual analog scale (VAS) score, and related complications of different approaches were compared. Results There were no significant differences between the left and right of C6 transverse process in the distance from anterior tubercle to carotid artery, the distance from anterior tubercle to jugular vein, and the distance from longus cervical muscle to vagus nerve (P＞0.05). There was no significant difference between the left and right of C7 transverse process in the distance from vertebral vein to carotid artery, the distance from vertebral vein to jugular vein, and the distance from longus cervical muscle to vagus nerve (P＞0.05). The width of the artery window, the width of the vein window, and the distance from longus cervical muscle to vagus nerve in C7 transversal process approach were longer than those in C6 transversal process approach; the proportion of arterial window width＜5 mm and venous window width ＜5 mm on C7 transversal process approach were lower than those on C6 transversal process approach, and the differences were statistically significant (P＜0.05). Successful puncture through different approaches and Horner’s syndrome was occurred. The puncture success rate of C7 transversal process was higher than that of C6 transversal process, and the VAS score was lower than that of C6 transversal process, and the differences were statistically significant (P＜0.05). There was no significant difference in hoarseness rate among different approaches (P＞0.05). Conclusion Ultrasound-guided SGB through C7 transverse process approach is more valuable than C6 transverse process approach, and is worth popularizing.
储小爱1 汪珺莉1 胡爱丽1 鲁大胜2 夏秦仲2▲. 基于C6、C7路径星状神经节阻滞超声参数研究及临床价值[J]. 中国医药导报, 2023, 20(25): 156-159,163.
CHU Xiaoai1 WANG Junli1 HU Aili1 LU Dasheng2 XIA Qinzhong2▲. Study of ultrasound parameters and clinical value of stellate ganglion block based on C6 and C7 pathway. 中国医药导报, 2023, 20(25): 156-159,163.
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