Chaiban Gassan, Paradis Tyler, Atallah Joseph
Department of Anesthesiology, University of Toledo Medical Center, Toledo, Ohio, U.S.A.
Pain Pract. 2014 Apr;14(4):343-5. doi: 10.1111/papr.12069. Epub 2013 May 9.
Hip pain is a common condition that is often seen in patients with multiple comorbidities. Often surgery is not an option due to these comorbidities. Percutaneous radiofrequency lesioning of the articular branches of the obturator and femoral nerves is an alternative treatment for hip pain. Traditionally, fluoroscopy is used to guide needle placement. We report a case where a novel approach was used with ultrasound guidance to visualize vascular and soft tissue structures in real time. The use of ultrasound might help to guide the needle to avoid vascular complications due to anatomical variation between patients.
髋部疼痛是一种常见病症，在患有多种合并症的患者中经常出现。由于这些合并症，手术往往不是一种选择。闭孔神经和股神经关节支的经皮射频毁损术是治疗髋部疼痛的一种替代方法。传统上，使用荧光透视来引导针的放置。我们报告了一例采用新型方法，在超声引导下实时可视化血管和软组织结构的病例。超声的使用可能有助于引导针避免因患者之间的解剖变异而导致的血管并发症。
