From the Department of Rehabilitation Medicine, Daegu Fatima Hospital, Daegu, South Korea.
Am J Phys Med Rehabil. 2018 Mar;97(3):e14-e16. doi: 10.1097/PHM.0000000000000754.
Recently, several studies have investigated the effectiveness of the ultrasound-guided lumbosacral transforaminal epidural injection. However, the ultrasound-guided S1 transforaminal epidural injection using an out-of-plane approach, which was previously reported, may cause an intestinal injury or intravascular injection because the needle tip tends to be invisible in the out-of-plane approach. In this study, therefore, we report a new method of ultrasound-guided S1 transforaminal epidural injection using the in-plane approach and color Doppler. In addition, we also report the usefulness of color Doppler imaging for finding the S1 foramen and confirming the accuracy of the injection.
最近，有几项研究调查了超声引导下腰骶部经椎间孔硬膜外注射的效果。然而，之前报道的经皮超声引导 S1 椎间孔硬膜外注射采用的是平面外入路，由于针尖在平面外入路中往往不可见，因此可能会导致肠损伤或血管内注射。因此，在这项研究中，我们报告了一种使用平面内入路和彩色多普勒的新的超声引导 S1 椎间孔硬膜外注射方法。此外，我们还报告了彩色多普勒成像在寻找 S1 孔和确认注射准确性方面的有用性。
