Université Versailles Saint Quentin en Yvelines, Service de Rhumatologie Hôpital Ambroise Paré, APHP 9 Avenue Charles de Gaulle, 92100 Boulogne-Billancourt, France.
Best Pract Res Clin Rheumatol. 2013 Apr;27(2):283-94. doi: 10.1016/j.berh.2013.04.001.
Ultrasound allows one to detect easily joint involvement. In addition to its primary use as a diagnostic tool, ultrasound is increasingly used by rheumatologists to guide musculoskeletal interventions. The correct position of the needle in the target area offers the chance to improve efficacy of the local procedure. Knowledge of anatomy and probe positioning as well as the ability to coordinate probe and needle are necessary when injecting patients with ultrasound guidance. Lack of training and of clear guidelines on their practice is demonstrated by recent surveys and by the high variability of the literature results evaluating practice and outcome of ultrasound-guided injections. This chapter deals with actual knowledge and practical suggestions for the indications and procedures of ultrasound guidance in rheumatology daily practice.
超声检查可轻松发现关节受累情况。除了作为主要的诊断工具外,超声检查也越来越多地被风湿病医生用于引导肌肉骨骼介入治疗。在目标区域内正确定位针具可提高局部操作的疗效。在超声引导下为患者注射时,需要了解解剖结构和探头定位,以及协调探头和针具的能力。最近的调查研究以及文献结果在评估超声引导注射的实践和结果方面存在高度变异性,这表明缺乏培训和实践指南。本章涉及实际知识以及在风湿病日常实践中对超声引导的适应证和操作程序的实用建议。