Tagliafico Alberto, Bignotti Bianca, Martinoli Carlo
Institute of Anatomy, Department of Experimental Medicine (DIMES), University of Genoa, Genoa, Italy.
Department of Health Sciences (DISSAL), University of Genova, Genoa, Italy.
Semin Musculoskelet Radiol. 2016 Nov;20(5):453-460. doi: 10.1055/s-0036-1594282. Epub 2016 Dec 21.
This article is a practical review update on ultrasound (US)-guided interventional procedures on peripheral nerves. Technical considerations, biopsy techniques, and some examples of injections are described. US is considered a safe imaging guidance for interventional procedures, due to its high spatial resolution and the possibility to image the needle and inject drugs in real time. US-guided injections could be considered a diagnostic and therapeutic option in the most common neuropathy, before or as an alternative to surgery. US-guided injection techniques in patients with carpal tunnel syndrome, cubital tunnel syndrome, meralgia paresthetica, and Morton neuroma are reviewed. US-guided injections of the iliohypogastric, ilioinguinal, genitofemoral, and pudendal nerve are also illustrated. Knowledge of anatomy is crucial; therefore a brief description of the courses of anatomical nerves and clinical notes are also reported. Treatment of stump neuromas treatment was excluded.
本文是关于超声（US）引导下外周神经介入操作的实用综述更新。文中描述了技术考量、活检技术以及一些注射示例。由于超声具有高空间分辨率且能够实时成像穿刺针和注射药物，因此它被认为是介入操作的一种安全成像引导方式。在最常见的神经病变中，超声引导下注射可在手术前或作为手术替代方案，被视为一种诊断和治疗选择。本文回顾了超声引导下在腕管综合征、肘管综合征、股外侧皮神经痛和 Morton 神经瘤患者中的注射技术。还展示了超声引导下对髂腹下神经、髂腹股沟神经、生殖股神经和阴部神经的注射。解剖学知识至关重要；因此也报告了神经解剖走行的简要描述及临床注意事项。残端神经瘤的治疗未包括在内。
