Department of Anesthesia and Pain Management, Toronto Western Hospital (University Health Network), 399 Bathurst St., Toronto, Ontario, Canada M5T 2S8.
Anesth Analg. 2013 Jul;117(1):236-51. doi: 10.1213/ANE.0b013e31828f5ee4. Epub 2013 Apr 16.
Modern ultrasound (US) is an attractive alternative to anatomical landmark-, nerve stimulation-, and fluoroscopic-guided techniques for interventional procedures performed to treat chronic pain syndromes.
In this review, we evaluated the effects of US guidance compared with traditional guidance techniques on performance, efficacy, and safety outcomes for interventional chronic pain procedures. We identified 46 studies, including 41 case series and 5 randomized trials of intermediate-to-good quality that investigated the use of US guidance for a diverse variety of chronic pain procedures.
Our results suggest that US guidance can match or improve performance- and safety-related outcomes compared with many anatomic landmark-, nerve stimulation-, and fluoroscopic-guided techniques for treating chronic pain.
There are presently insufficient data to support improved efficacy with procedures performed with US guidance for relieving both short- and long-term chronic pain.
现代超声（US）是一种有吸引力的替代方法，可以替代解剖标志、神经刺激和透视引导技术，用于治疗慢性疼痛综合征的介入性手术。
在本综述中，我们评估了超声引导与传统引导技术在介入性慢性疼痛手术的性能、疗效和安全性结果方面的影响。我们确定了 46 项研究，包括 41 项病例系列和 5 项中级至高质量的随机试验，这些研究调查了超声引导在各种慢性疼痛手术中的应用。
我们的结果表明，与许多解剖标志、神经刺激和透视引导技术相比，超声引导在治疗慢性疼痛方面可以匹配或改善与性能和安全性相关的结果。
目前尚无足够的数据支持使用超声引导进行的操作在缓解短期和长期慢性疼痛方面具有更高的疗效。
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