Weidner Sven, Kellner Wolfgang, Kellner Herbert
Policlinic of Internal Medicine, Department of Rheumatology, Ludwig-Maximilians-University, Munich, Germany.
Best Pract Res Clin Rheumatol. 2004 Dec;18(6):945-56. doi: 10.1016/j.berh.2004.05.011.
Imaging-guided interventional procedures are becoming increasingly important in clinical rheumatology, since arthrocentesis of peripheral joints and the spine, as well as soft tissue injections, have a high rate of para-articular localisation when performed as blind techniques. Ultrasound-guided needle placement is the method of choice for interventional procedures on peripheral joints and for soft tissue injections. Fluoroscopy and computed tomography (CT) are not recommended for these indications due to the application of ionising radiation and the high procedural effort. By contrast, CT and magnetic resonance imaging are preferred for a variety of percutaneous procedures on the spine and sacroiliac joints. The increasing use of these methods for interventional purposes should improve both technical and procedural quality, thus ensuring cost-effectiveness and patient safety.
在临床风湿病学中，影像引导介入操作正变得越来越重要，因为当采用盲法技术进行外周关节和脊柱的关节穿刺以及软组织注射时，关节周围定位的发生率很高。超声引导下的针穿刺置入是外周关节介入操作和软组织注射的首选方法。由于电离辐射的应用和操作过程繁琐，不建议将荧光镜检查和计算机断层扫描（CT）用于这些适应症。相比之下，CT和磁共振成像则更适用于脊柱和骶髂关节的各种经皮操作。这些方法越来越多地用于介入目的，应能提高技术和操作质量，从而确保成本效益和患者安全。
