《中国康复理论与实践》

中国康复理论与实践 >

2020 , Vol. 26 >Issue 5: 550 - 554

DOI: https://doi.org/10.3969/j.issn.1006-9771.2020.05.011

基础研究

超声引导下经椎间孔硬膜外注射的可行性

  • 任伟靖 ,
  • 王方永 ,
  • 洪毅 ,
  • 郭忆 ,
  • 宋明洁
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  • 1.首都医科大学康复医学院,北京市 100068
    2.中国康复研究中心北京博爱医院,a. 脊柱脊髓外科;b. 超声科,北京市 100068
任伟靖(1994-),女,汉族,河北邯郸市人,硕士研究生,主要研究方向：康复医学与理疗学、脊柱脊髓损伤。

收稿日期: 2019-10-28

  修回日期: 2020-01-16

  网络出版日期: 2020-05-29

基金资助

1.首都卫生发展科研专项项目(2018-3-6012);2.中国康复研究中心项目(2017ZX-02);2.中国康复研究中心项目(2017ZX-23)

收起

Ultrasound-guided Transforaminal Epidural Injection in Pigs

  • Wei-jing REN ,
  • Fang-yong WANG ,
  • Yi HONG ,
  • Yi GUO ,
  • Ming-jie SONG
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  • 1. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China
    2.a. Department of Spine Surgery; b. Department of Ultrasound, Beijing Bo’ai Hospital, China Rehabilitation Research Center, Beijing 100068, China

Received date: 2019-10-28

  Revised date: 2020-01-16

  Online published: 2020-05-29

Supported by

Capital Health Development Special(2018-3-6012);China Rehabilitation Research Center Project(2017ZX-02);China Rehabilitation Research Center Project(2017ZX-23)

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摘要

目的 观察猪标本超声引导下腰椎经椎间孔硬膜外注射的可行性及准确性。方法 取来自2只巴马小型猪的L1-6节段脊柱及椎旁部分组织,分别在双侧L1-2、L2-3、L3-4、L4-5、L5-6椎间孔完成超声引导下经椎间孔硬膜外穿刺,应用腰椎X线片和CT检测穿刺针位置;大体观察穿刺针入路和针尖位置,记录穿刺针皮肤入针点与后正中线距离、入针深度和入针角度,并进行左右对比。结果 穿刺成功率95% (19/20),其中穿刺针针尖位于椎间孔下缘、腹侧、中央区和旁中央区的占80% (16/20)。成功穿刺时,左右侧穿刺针皮肤入针点与后正中线距离、入针深度、入针角度无显著性差异(|t| < 1.475, P > 0.05)。 结论 超声引导下经椎间孔硬膜外穿刺有较高准确率。

关键词： 经椎间孔硬膜外注射; 超声引导; 猪

本文引用格式

任伟靖 , 王方永 , 洪毅 , 郭忆 , 宋明洁 . 超声引导下经椎间孔硬膜外注射的可行性[J]. 中国康复理论与实践, 2020 , 26(5) : 550 -554 . DOI: 10.3969/j.issn.1006-9771.2020.05.011

Abstract

Objective To observe the feasibility and accuracy of ultrasound-guided transforaminal epidural injection.Methods Ultrasound-guided injection at L1-2, L2-3, L3-4, L4-5, L5-6 bilaterally was performed in L1-6 spine from two Bama miniature pigs. The position of needles was detected with X-ray and CT, and observed under anatomy. The distance from the puncturing points at skin to the posterior midline, the depths and angles of puncturing between were measured and compared bilaterally.Results The successful rate was 95% (19/20), out of which, 80% (16/20) were put the needle tips at the lower part of the intervertebral foramen, ventral side, central region or paracentral region. There was no significant difference between sides in the distances, depths or angles in 19 successful injections.Conclusion It is accurate to transforaminally puncture under ultrasound-guided.

Key words： transforaminal epidural injection; ultrasound-guided; pigs

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