Yang Seung-Nam, Lee Sang-Heon, Kwon Hee-Kyu
Department of Rehabilitation Medicine, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Republic of Korea.
Arch Phys Med Rehabil. 2008 Sep;89(9):1816-8. doi: 10.1016/j.apmr.2008.01.027.
To analyze and compare the safety of the anterior and posterior approaches for needle electrode placement and to examine the method for inserting the needle electrode using the anterior approach.
Cross-sectional study.
University hospital.
Lower-extremity radiographs and magnetic resonance images of 22 patients (13 men, 9 women).
Not applicable.
Measurement of lower-extremity radiographs and magnetic resonance imaging.
The anterior approach offers the advantage of a larger safe window for needle insertion into the upper third of the leg than the posterior approach. No significant differences were observed between the anterior and posterior approaches in terms of safety of needle insertion into the midpoint. The safe zone of the overlying skin for needle insertion was found to be approximately 40% to 80% of the width of the tibia away from the lateral margin of the tibia shaft on the upper third of the leg and 32% to 58% of the width of the tibia at the midpoint of the leg in the anterior approach.
The method suggested in this article can be used for needle electromyography and deserves more widespread use in clinical practice.
分析和比较针电极置入的前路和后路方法的安全性，并研究使用前路方法插入针电极的方法。
横断面研究。
大学医院。
22例患者（13例男性，9例女性）的下肢X线片和磁共振图像。
不适用。
下肢X线片和磁共振成像测量。
与后路相比，前路在将针插入小腿上三分之一处时具有更大的安全窗口优势。在前路和后路将针插入中点的安全性方面未观察到显著差异。发现前路针插入覆盖皮肤的安全区域在小腿上三分之一处距胫骨干外侧边缘约为胫骨宽度的40%至80%，在小腿中点处为胫骨宽度的32%至58%。
本文所建议的方法可用于针电极肌电图检查，值得在临床实践中更广泛地应用。
