Chang Ke-Vin, Lin Chih-Peng, Lin Chia-Shiang, Wu Wei-Ting, Karmakar Manoj K, Özçakar Levent
Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Bei-Hu Branch, Taipei, Taiwan; National Taiwan University College of Medicine, Taipei, Taiwan.
National Taiwan University College of Medicine, Taipei, Taiwan; Department of Anesthesiology, National Taiwan University Hospital, Taipei, Taiwan.
J Pain Res. 2017 Jan 4;10:79-88. doi: 10.2147/JPR.S123828. eCollection 2017.
Delineation of architecture of peripheral nerves can be successfully achieved by high-resolution ultrasound (US), which is essential for US-guided pain management. There are numerous musculoskeletal pain syndromes involving the trunk nerves necessitating US for evaluation and guided interventions. The most common peripheral nerve disorders at the trunk region include thoracic outlet syndrome (brachial plexus), scapular winging (long thoracic nerve), interscapular pain (dorsal scapular nerve), and lumbar facet joint syndrome (medial branches of spinal nerves). Until now, there is no single article systematically summarizing the anatomy, sonographic pictures, and video demonstration of scanning techniques regarding trunk nerves. In this review, the authors have incorporated serial figures of transducer placement, US images, and videos for scanning the nerves in the trunk region and hope this paper helps physicians familiarize themselves with nerve sonoanatomy and further apply this technique for US-guided pain medicine and research.
高分辨率超声（US）能够成功实现对周围神经结构的描绘，这对于超声引导下的疼痛管理至关重要。有许多涉及躯干神经的肌肉骨骼疼痛综合征需要超声来进行评估和引导干预。躯干区域最常见的周围神经疾病包括胸廓出口综合征（臂丛神经）、翼状肩胛（胸长神经）、肩胛间疼痛（肩胛背神经）和腰椎小关节综合征（脊神经内侧支）。到目前为止，尚无单一文章系统总结关于躯干神经的解剖、超声图像以及扫描技术的视频演示。在本综述中，作者纳入了换能器放置的系列图、超声图像以及用于扫描躯干区域神经的视频，希望本文能帮助医生熟悉神经超声解剖，并进一步将该技术应用于超声引导下的疼痛医学和研究。
