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美国创伤性神经损伤、神经卡压症和影像学引导下的神经周围注射治疗。

US for Traumatic Nerve Injury, Entrapment Neuropathy, and Imaging-guided Perineural Injection.

机构信息

From the Department of Radiology, University of Wisconsin Hospital and Clinics, 600 Highland Ave, Madison, WI 53792 (J.S.S., A.B.R., K.W.D., M.C.B., K.S.L.); and Department of Radiology, William S. Middleton Veterans Hospital, Madison, Wis (M.C.B.).

出版信息

Radiographics. 2022 Sep-Oct;42(5):1546-1561. doi: 10.1148/rg.210152. Epub 2022 Jul 1.

Abstract

US is commonly performed to help diagnose traumatic peripheral nerve injury and entrapment neuropathy, particularly with superficial nerves, where higher spatial resolution provides an advantage over MRI. Other advantages of US include dynamic evaluation, easy contralateral comparison, fewer implant contraindications, less artifact from ferromagnetic debris, and facile needle guidance for perineural injections. The authors review peripheral nerve US for traumatic peripheral nerve injury with an emphasis on injury grading and entrapment neuropathy and describe best-practice techniques for US-guided perineural injections while highlighting specific techniques and indications. RSNA, 2022.

摘要

美国通常用于帮助诊断外伤性周围神经损伤和神经卡压性神经病,特别是对于浅表神经,其具有更高的空间分辨率,这是 MRI 的优势。US 的其他优点包括动态评估、易于进行对侧比较、较少的植入物禁忌证、较少的铁磁性碎片伪影,以及便于进行神经周围注射的引导。作者回顾了外伤性周围神经损伤的周围神经 US,重点介绍了损伤分级和神经卡压性神经病,并描述了 US 引导下神经周围注射的最佳实践技术,同时强调了特定的技术和适应证。RSNA,2022 年。

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