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超声引导下的膝关节手术

Ultrasound-Guided Knee Procedures.

作者信息

Lueders Daniel R, Smith Jay, Sellon Jacob L

机构信息

Department of Physical Medicine and Rehabilitation, Mayo Clinic Sports Medicine Center, Mayo Clinic, 200 1st St Southwest, Rochester, MN 55905, USA.

Department of Physical Medicine and Rehabilitation, Mayo Clinic Sports Medicine Center, Mayo Clinic, 200 1st St Southwest, Rochester, MN 55905, USA; Department of Radiology, Mayo Clinic, 200 1st St SW, Rochester, MN 55905, USA; Department of Anatomy, Mayo Clinic, 200 1st St SW, Rochester, MN 55905, USA.

出版信息

Phys Med Rehabil Clin N Am. 2016 Aug;27(3):631-48. doi: 10.1016/j.pmr.2016.04.010.

Abstract

Most knee structures can be accurately targeted using ultrasound guidance. These structures are usually superficial, and the overlying soft tissues are mobile and compressible, facilitating excellent visualization with a high-frequency linear array transducer. The circumferential accessibility to the knee affords flexibility and often multiple procedural approach options. In most cases, an in-plane approach is easily achieved. Studies of ultrasonography-guided knee procedures have consistently shown high accuracy, and its use is particularly beneficial for obese patients, diagnostic injection specificity, safety, and precise targeting of pathology. More studies are needed to assess the clinical efficacy and cost-effectiveness of ultrasonography-guided knee procedures.

摘要

使用超声引导,大多数膝关节结构都能被准确靶向。这些结构通常位于体表浅层,其上方的软组织可活动且可压缩,便于使用高频线性阵列换能器进行极佳的可视化观察。膝关节的周向可达性提供了灵活性,通常有多种手术入路选择。在大多数情况下,平面内入路很容易实现。超声引导下膝关节手术的研究一直显示出高准确性,其应用对肥胖患者、诊断性注射的特异性、安全性以及病变的精确靶向尤其有益。需要更多研究来评估超声引导下膝关节手术的临床疗效和成本效益。

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