Haldeman Clayton L, Baggott Christopher D, Hanna Amgad S
Department of Neurological Surgery, University of Wisconsin Hospitals and Clinics, Madison, Wisconsin.
Neurosurg Focus. 2015 Sep;39(3):E4. doi: 10.3171/2015.6.FOCUS15232.
Historically, peripheral nerve surgery has relied on landmarks and fairly extensive dissection for localization of both normal and pathological anatomy. High-resolution ultrasonography is a radiation-free imaging modality that can be used to directly visualize peripheral nerves and their associated pathologies prior to making an incision. It therefore helps in localization of normal and pathological anatomy, which can minimize the need for extensive exposures. The authors found intraoperative ultrasound (US) to be most useful in the management of peripheral nerve tumors and neuromas of nerve branches that are particularly small or have a deep location. This study presents the use of intraoperative US in 5 cases in an effort to illustrate some of the applications of this useful surgical adjunct.
从历史上看，周围神经手术一直依赖于解剖标志和相当广泛的解剖来定位正常和病理解剖结构。高分辨率超声是一种无辐射的成像方式，可用于在切开之前直接可视化周围神经及其相关病变。因此，它有助于定位正常和病理解剖结构，从而可以减少广泛暴露的必要性。作者发现术中超声在周围神经肿瘤和特别小或位置较深的神经分支神经瘤的处理中最有用。本研究介绍了5例术中超声的应用，以说明这种有用的手术辅助工具的一些应用。
