本文關(guān)鍵詞： 肩胛背神經(jīng) 神經(jīng)阻滯 超聲檢查 第頸椎橫突后結(jié)節(jié)　出處：《中國(guó)介入影像與治療學(xué)》2017年01期 　論文類型：期刊論文

【摘要】：目的探討超聲引導(dǎo)下第5頸椎橫突后結(jié)節(jié)(PTFCV)處阻滯肩胛背神經(jīng)(DSN)的可行性。方法對(duì)20例單側(cè)肩胛間區(qū)疼痛患者行超聲檢查,觀察PTFCV及DSN,測(cè)量PTFCV距皮膚的垂直距離。并于PTFCV處行超聲引導(dǎo)下DSN阻滯。記錄操作時(shí)間、術(shù)中及術(shù)后并發(fā)癥,并以疼痛緩解程度評(píng)估治療效果。結(jié)果通過(guò)超聲可準(zhǔn)確識(shí)別所有患者的PTFCV,PTFCV距皮膚表面垂直距離為(1.09±0.22)cm。20例中,僅8例(8/20,40.00%)的DSN可被超聲識(shí)別。對(duì)20例(20/20,100%)患者均成功實(shí)施超聲引導(dǎo)下DSN阻滯,操作時(shí)間(9.05±0.41)min。術(shù)后患者疼痛緩解率為(70.92±17.15)%。未出現(xiàn)明顯的術(shù)中及術(shù)后并發(fā)癥。結(jié)論超聲引導(dǎo)下于PTFCV處阻滯DSN省時(shí)、易行,且安全、有效。
[Abstract]:Objective to investigate the feasibility of using ultrasound to block DSNs of dorsal scapular nerve at PTFCVV of the 5th cervical vertebra. Methods 20 patients with unilateral interscapular pain were examined by ultrasound. PTFCV and DSNwere observed and the vertical distance between PTFCV and skin was measured. Under the guidance of PTFCV, DSN block was performed. The operation time, intraoperative and postoperative complications were recorded. The therapeutic effect was evaluated by the degree of pain relief. Results the PTFCV of all patients could be accurately identified by ultrasound. The vertical distance between PTFCV and skin surface was 1.09 鹵0.22 cm 路20, only 8 cases were 8 / 20. DSN can be identified by ultrasound. Twenty patients (20 / 20 / 100) were successfully treated with ultrasound guided DSN block. The operating time was 9.05 鹵0.41 min. The postoperative pain relief rate was 70.92 鹵17.15). There were no obvious intraoperative and postoperative complications. Conclusion Ultrasound-guided block of DSN at PTFCV can save time. Easy, safe and effective.
【作者單位】： 重慶醫(yī)科大學(xué)超聲影像學(xué)研究所;重慶醫(yī)科大學(xué)附屬第二醫(yī)院超聲科;重慶醫(yī)科大學(xué)附屬第二醫(yī)院骨科;上海交通大學(xué)附屬第六人民醫(yī)院超聲科;
【基金】：國(guó)家自然科學(xué)基金(81270021) 國(guó)家杰出青年科學(xué)基金(81425014) 教育部新世紀(jì)優(yōu)秀人才支持計(jì)劃[NCET-13-1067(212142)] 重慶市杰出青年基金(cstc2013jcyjjq10004)
【分類號(hào)】：R68;R445.1
【正文快照】： 肩胛間區(qū)疼痛臨床常見(jiàn),肩胛背神經(jīng)(dorsal scapular nerve,DSN)病變是引起肩胛間區(qū)疼痛的主要原因[1]。DSN主要在椎前筋膜下由第5頸神經(jīng)根分出并穿過(guò)中斜角肌向后向下走行,發(fā)出神經(jīng)分支支配大小菱形肌[2-3]。有學(xué)者[4]嘗試通過(guò)體表標(biāo)志及神經(jīng)刺激器定位DSN并對(duì)其進(jìn)行阻滯,以治

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