Hartung W, Ehrenstein B, Härle P, Fleck M, Weigand T
Klinik für Rheumatologie und klinische Immunologie, Asklepios Klinik, Kaiser-Karl V.-Allee 3, 93077, Bad Abbach, Deutschland.
Z Rheumatol. 2011 Aug;70(6):455-61. doi: 10.1007/s00393-011-0837-z.
Joint and soft tissue injections are routinely performed in daily rheumatology practice to establish the diagnosis or as part of the treatment in patients suffering from rheumatic diseases. Consequently, joint injections have been included in the rheumatology further training curriculum. Despite numerous studies demonstrating a poor accuracy and outcome of joint injections guided only by clinical examination, most of the injection procedures are still performed in a "blind" fashion based on clinical judgment. Ultrasound has evolved as an established imaging method in rheumatology within the past decade and is considered the preferred imaging modality for joint interventions due to its availability and lack of radiation exposure. In this article the indications and important aspects of the practical management of ultrasound-guided injections performed in daily rheumatology practice are summarized.
在日常风湿病诊疗实践中，关节和软组织注射是常规操作，用于确诊或作为风湿病患者治疗的一部分。因此，关节注射已被纳入风湿病继续培训课程。尽管众多研究表明，仅通过临床检查引导的关节注射准确性和效果不佳，但大多数注射操作仍基于临床判断以“盲法”进行。在过去十年中，超声已发展成为风湿病领域一种成熟的成像方法，因其可用性和无辐射暴露，被认为是关节干预的首选成像方式。本文总结了日常风湿病诊疗实践中超声引导注射的适应证及实际操作的重要方面。
