Lento Paul H, Strakowski Jeffrey A
Department of Physical Medicine and Rehabilitation, Temple University Hospital, Temple University School of Medicine, 3401 North Broad Street, Lower Level, Rock Pavilion, Philadelphia, PA 19140, USA.
Phys Med Rehabil Clin N Am. 2010 Aug;21(3):559-83. doi: 10.1016/j.pmr.2010.04.004.
There has been an increase in the use of ultrasound (US) to help guide interventional procedures involving the musculoskeletal system. To perform these procedures safely and accurately, two steps must occur. First, the appropriate structure must be localized using diagnostic US imaging. Second, a needle must be guided under constant visualization toward the targeted tissue. Although US imaging can help place the needle and, hence, therapeutic medication more accurately, there is still debate about whether or not image-guided procedures result in improved outcomes. This article discusses the advantages and disadvantages of performing US-guided injections and describes injection principles and techniques. Studies examining the efficacy of US-guided procedures are reviewed.
超声（US）在辅助引导涉及肌肉骨骼系统的介入操作中的应用有所增加。为了安全、准确地进行这些操作，必须经过两个步骤。首先，必须使用诊断性超声成像定位合适的结构。其次，必须在持续可视化的引导下将针朝向目标组织。尽管超声成像有助于更准确地放置针以及因此更准确地注射治疗药物，但对于图像引导操作是否能改善治疗效果仍存在争议。本文讨论了进行超声引导注射的优缺点，并描述了注射原则和技术。还综述了检验超声引导操作疗效的研究。
