Klocke Rainer, Jenkinson Timothy, Glew David
Royal National Hospital for Rheumatic Diseases, Bath, England.
J Ultrasound Med. 2003 Nov;22(11):1229-32. doi: 10.7863/jum.2003.22.11.1229.
Caudal epidural steroid injections are used for the symptomatic treatment of radicular lumbosacral pain syndromes, but incorrect injection placement has been recognized as a common problem with the routinely used unguided technique. We aimed to explore the use of sonography to facilitate this procedure.
In patients with clinically unreliable anatomic landmarks, high-resolution real-time sonography was used to identify those landmarks and to assist in correct needle placement.
Sonography enabled localization of the sacral hiatus landmarks. We found this method particularly useful for guiding needle placement in patients with moderate obesity.
Real-time sonography can facilitate caudal epidural steroid injections.
骶管硬膜外类固醇注射用于神经根性腰骶部疼痛综合征的对症治疗，但注射位置不正确已被认为是常规使用的非引导技术的常见问题。我们旨在探讨使用超声来辅助这一操作。
对于解剖标志在临床上不可靠的患者，使用高分辨率实时超声来识别这些标志并协助正确的进针位置。
超声能够定位骶裂孔标志。我们发现这种方法对于指导中度肥胖患者的进针位置特别有用。
实时超声可辅助骶管硬膜外类固醇注射。
