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磁共振神经成像引导下的神经阻滞术在慢性盆腔痛综合征的诊断和治疗中的应用。

Magnetic resonance neurography-guided nerve blocks for the diagnosis and treatment of chronic pelvic pain syndrome.

机构信息

Musculoskeletal Radiology, The Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins Hospital, 600 N Wolfe Street, Baltimore, MD 21287, USA.

出版信息

Neuroimaging Clin N Am. 2014 Feb;24(1):211-34. doi: 10.1016/j.nic.2013.03.028. Epub 2013 Aug 1.

Abstract

Magnetic resonance (MR) neurography - guided nerve blocks and injections describe a techniques for selective percutaneous drug delivery, in which limited MR neurography and interventional MR imaging are used jointly to map and target specific pelvic nerves or muscles, navigate needles to the target, visualize the injected drug and detect spread to confounding structures. The procedures described, specifically include nerve blocks of the obturator nerve, lateral femoral cutaneous nerve, pudendal nerve, posterior femoral cutaneous nerve, sciatic nerve, ganglion impar, sacral spinal nerve, and injection into the piriformis muscle.

摘要

磁共振(MR)神经成像引导下的神经阻滞和注射描述了一种选择性经皮药物递送技术,其中有限的磁共振神经成像和介入性磁共振成像联合使用,以绘制和定位特定的骨盆神经或肌肉,引导针到达目标,可视化注射的药物,并检测到扩散到混杂结构。所描述的程序特别包括闭孔神经、股外侧皮神经、阴部神经、股后皮神经、坐骨神经、副神经节、骶神经根的神经阻滞,以及梨状肌内注射。

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