颈部肌张力障碍颈部肌肉肉毒杆菌毒素注射的超声引导
Sonographic Guide for Botulinum Toxin Injections of the Neck Muscles in Cervical Dystonia.
作者信息
Kaymak Bayram, Kara Murat, Gürçay Eda, Özçakar Levent
机构信息
Department of Physical and Rehabilitation Medicine, Hacettepe University Medical School, Ankara 06100, Turkey.
Department of Physical and Rehabilitation Medicine, Gaziler Training and Research Hospital, Lodumlu yolu, 06800 Bilkent, Ankara, Turkey.
出版信息
Phys Med Rehabil Clin N Am. 2018 Feb;29(1):105-123. doi: 10.1016/j.pmr.2017.08.009.
Intramuscular botulinum toxin (BoTX) injection is the first-line treatment of cervical dystonia. Poor treatment outcomes and some side effects, however, have been reported after BoTX applications. One of the most important reasons is incorrect localization of the needle during toxin injections. Without imaging, it is impossible to verify precise needle positioning in the proper muscle. Ultrasound has been recommended because of its high capability in illustrating most of the neck muscles. This review article discusses how ultrasound imaging can be used to scan/access neck muscles, mainly from the perspective of BoTX injections.
肌内注射肉毒杆菌毒素（BoTX）是颈部肌张力障碍的一线治疗方法。然而，在应用BoTX后，已报告了治疗效果不佳和一些副作用。最重要的原因之一是在毒素注射过程中针头定位不正确。没有成像技术，就无法在适当的肌肉中验证针头的精确位置。由于超声在显示大多数颈部肌肉方面具有很高的能力，因此已被推荐使用。这篇综述文章主要从BoTX注射的角度讨论了超声成像如何用于扫描/检查颈部肌肉。
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