一项评估关节内注射肾上腺素在双对比膝关节造影中作用的对比研究。

A comparative study to evaluate the role of intra-articular adrenaline in double-contrast knee arthrography.

作者信息

Ng Y Y, Khaw K T, Halpin S, Stoker D J

机构信息

Department of Radiology, Royal National Orthopaedic Hospital, London.

出版信息

Clin Radiol. 1989 Nov;40(6):598-601. doi: 10.1016/s0009-9260(89)80316-2.

DOI:10.1016/s0009-9260(89)80316-2

PMID:2598585

Abstract

The addition of adrenaline to meglumine iothalamate (Conray 280) in double-contrast knee arthrography significantly improves meniscal coating, in both immediate and delayed films, when compared with iothalamate alone. The quality of coating is comparable to that with sodium meglumine ioxaglate (Hexabrix 320) without adrenaline. The addition of adrenaline to ioxaglate produces no significant improvement in arthrographic quality in either immediate or delayed films. The use of iothalamate with adrenaline is less expensive than ioxaglate alone, but this financial advantage has to be balanced against the significantly greater pain associated with the use of intra-articular adrenaline.

摘要

在双对比膝关节造影术中，与单独使用碘他拉葡胺相比，向碘他拉葡胺（康瑞280）中添加肾上腺素可显著改善半月板造影剂涂抹效果，即时片和延迟片中均如此。造影剂涂抹质量与未添加肾上腺素的碘克沙葡胺（六溴瑞素320）相当。向碘克沙酸盐中添加肾上腺素在即时片或延迟片中均未显著改善造影质量。使用含肾上腺素的碘他拉葡胺比单独使用碘克沙葡胺成本更低，但这种经济优势必须与使用关节内肾上腺素带来的明显更剧烈疼痛相权衡。