361 cases of caudal anesthesia in anorectal simplify the diagnosis and treatment experience.docVIP

 PAGE \* MERGEFORMAT 5 361 cases of caudal anesthesia in anorectal simplify the diagnosis and treatment experience [Keywords:] simplify anorectal disease caudal anesthesia Caudal anesthesia is the hole by the sacral puncture, injection of local anesthetic in the sacral block sacral spinal nerve lumen to achieve anesthesia, because of caudal epidural space is a continuation, it is mainly for perineal anorectal surgery. The anesthesia has simple operation, damage, rapid onset of anesthesia and so precise. We work in the surgical patient with caudal anesthesia in anorectal diagnosis and treatment of disease to achieve satisfactory results, are as follows. 1 Subjects and methods 1.1 Observation of object selection from January 2004 to December 2007 in our clinic in patients treated with 361 cases, aged 18 to 67 years, mean age 44 years. 259 cases were male, female 102 cases, 101 patients with mixed hemorrhoids, rectal anal abscess around the tubes 195 cases, 62 cases of anal fissure, rectal polyps in 3 cases lower. 1.2 prone position anesthesia patients to coccyx tip as a starting point the direction to the head along the midline of about 4 ~ 10cm interval can be touched - “V” shaped or “U”-shaped depression, the sides can reach uplift sacral angle, such as were taller than 170cm, this depression of up to 7 ~ 10cm, such as patient height less than 160cm, then the depression is less than 4cm, in case of sacral hiatus, sacral horns sign is not obvious, or sacrococcygeal bone deformity can range blind puncture here in general can be successful, when the sacral hiatus to determine the puncture site after another to take a one-time band 7 # 5mL syringe needle, and about 45 to the skin piercing, when the needle through the sacrococcygeal ligament, there was a sense of frustration, this advancing the needle when it is about 0.5cm, no cerebrospinal fluid or blood Withdrawing at this time, it will receive a prepared local anesthetic into the puncture needle