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实时超声可视化引导下的下颌神经注射。

Real-time ultrasonographic visualization for guided inferior alveolar nerve injection.

机构信息

Faculty of Dentistry, University of British Columbia, Vancouver, British Columbia, Canada.

出版信息

Oral Surg Oral Med Oral Pathol Oral Radiol. 2013 Feb;115(2):272-6. doi: 10.1016/j.oooo.2012.10.019.

DOI:10.1016/j.oooo.2012.10.019
PMID:23312921
Abstract

OBJECTIVE

The purpose of this study was to develop a methodological technique for the ultrasonographic visualization of the inferior alveolar nerve (IAN) using a novel hockey stick-shaped 8- to 15-MHz transducer in volunteers, followed by simulated IAN scanning and injection in cadavers.

STUDY DESIGN

In 20 volunteers, bilateral scans of the IAN nerve were performed with a systematic technique. We recorded times to scan each side and sonographic visibility of the IAN. In 3 cadavers, bilateral scans of the IAN were performed, followed by simulated injection with dye.

RESULTS

The IAN was visible in all 40 scans. Mean scanning times were 19.6 seconds (range: 4-54 seconds) for the left side and 30.5 seconds (range: 6-116 seconds) for the right side. In 5 cadaver injections, dye was correctly deposited onto the IAN with the ultrasound technique.

CONCLUSIONS

We hypothesize that ultrasound-guided IAN block may be feasible in humans using our technique.

摘要

目的

本研究旨在开发一种使用新型 hockey stick 形 8-15MHz 换能器对志愿者下颌神经(IAN)进行超声可视化的方法技术,随后对尸体进行模拟 IAN 扫描和注射。

研究设计

在 20 名志愿者中,采用系统技术对 IAN 神经进行双侧扫描。我们记录了扫描每侧的时间和 IAN 的超声可见度。在 3 具尸体中,对 IAN 进行双侧扫描,然后用染料进行模拟注射。

结果

40 次扫描中均可观察到 IAN。左侧扫描的平均扫描时间为 19.6 秒(范围:4-54 秒),右侧为 30.5 秒(范围:6-116 秒)。在 5 例尸体注射中,超声技术可将染料正确沉积到 IAN 上。

结论

我们假设使用我们的技术,超声引导下的 IAN 阻滞在人体中可能是可行的。

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