墨尔本一家大型神经科单位的选择性腰椎穿刺成功率。
Success rate of elective lumbar puncture at a major Melbourne neurology unit.
作者信息
Williams Peter, Tait Genevieve, Wijeratne Tissa
机构信息
Anesthesia Registrar, Medical Student, Western Health, Gordon Street, Footscray, Victoria, Australia.
Genevieve Tait, Medical Student, Western Health, Gordon Street, Footscray, Victoria, Australia.
出版信息
Surg Neurol Int. 2018 Jan 16;9:12. doi: 10.4103/sni.sni_426_17. eCollection 2018.
Abstract
BACKGROUND
Lumbar puncture remains an important diagnostic and therapeutic procedure in clinical neurology. Failed lumbar punctures can result in a delay in diagnosis. Ultrasound may have a role in increasing successful lumbar puncture rates.
METHODS
Data was collected retrospectively from patient notes who had an elective lumbar puncture from January 2012 to August 2015.
RESULTS
During this four-year period, 74 patients underwent a neurologic outpatient lumbar puncture. Of these 74 lumbar punctures, 53 were successful (28% failure rate).
CONCLUSIONS
This study found a 28% failure rate of conventional palpation-guided lumbar puncture. Ultrasound may provide an exciting opportunity to optimize lumbar puncture procedures and improve patient experience and diagnostic outcomes.
摘要
背景
腰椎穿刺在临床神经学中仍然是一项重要的诊断和治疗程序。腰椎穿刺失败可能导致诊断延迟。超声可能有助于提高腰椎穿刺成功率。
方法
回顾性收集2012年1月至2015年8月期间接受择期腰椎穿刺患者的病历资料。
结果
在这四年期间，74例患者接受了神经科门诊腰椎穿刺。在这74次腰椎穿刺中，53次成功（失败率为28%）。
结论
本研究发现传统触诊引导下腰椎穿刺的失败率为28%。超声可能为优化腰椎穿刺程序、改善患者体验和诊断结果提供一个令人兴奋的机会。
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