Department of Anesthesiology, Virginia Mason Medical Center, 1100 Ninth Ave, Mailstop: B2-AN, Seattle, WA 98101, USA.
Reg Anesth Pain Med. 2011 Jul-Aug;36(4):406-9. doi: 10.1097/AAP.0b013e3182213b64.
Ultrasound guidance for femoral nerve blockade allows visualization of normal and abnormal anatomy. Two cases of femoral nerve blockade under ultrasound guidance are presented where a major perineural pathologic lesion was incidentally revealed. These pathologic lesions, an abscess and a hematoma, resulted in significant adaptations in clinical care and have not been reported previously. We review and discuss incidental pathologic lesions that can be found in the femoral region. Identification of these 2 pathologic lesions facilitated our perioperative management strategies in two separate cases.
超声引导下股神经阻滞可使正常和异常解剖结构可视化。本文介绍了 2 例在超声引导下进行股神经阻滞的病例，意外发现了主要的神经周围病理性病变。这些病理性病变（脓肿和血肿）导致了临床治疗的显著改变，此前尚未有报道。我们回顾并讨论了在股部区域可能发现的偶然病理性病变。在这 2 个病例中，这 2 种病理性病变的发现有助于我们制定围手术期管理策略。
