Osorio Joseph A, Breshears Jonathan D, Arnaout Omar, Simon Neil G, Hastings-Robinson Ashley M, Aleshi Pedram, Kliot Michel
Department of Neurological Surgery, University of California, San Francisco, California;
Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois;
Neurosurg Focus. 2015 Sep;39(3):E2. doi: 10.3171/2015.6.FOCUS15220.
OBJECT The objective of this study was to provide a technique that could be used in the preoperative period to facilitate the surgical exploration of peripheral nerve pathology. METHODS The authors describe a technique in which 1) ultrasonography is used in the immediate preoperative period to identify target peripheral nerves, 2) an ultrasound-guided needle electrode is used to stimulate peripheral nerves to confirm their position, and then 3) a methylene blue (MB) injection is performed to mark the peripheral nerve pathology to facilitate surgical exploration. RESULTS A cohort of 13 patients with varying indications for peripheral nerve surgery is presented in which ultrasound guidance, stimulation, and MB were used to localize and create a road map for surgeries. CONCLUSIONS Preoperative ultrasound-guided MB administration is a promising technique that peripheral nerve surgeons could use to plan and execute surgery.
目的 本研究的目的是提供一种可在术前阶段使用的技术，以促进对周围神经病变的手术探查。方法 作者描述了一种技术，其中1）在术前即刻使用超声来识别目标周围神经，2）使用超声引导针电极刺激周围神经以确认其位置，然后3）进行亚甲蓝（MB）注射以标记周围神经病变，便于手术探查。结果 介绍了一组13例有不同周围神经手术指征的患者，其中超声引导、刺激和MB被用于定位并为手术创建路线图。结论 术前超声引导下给予MB是一种有前景的技术，周围神经外科医生可用于规划和实施手术。
