Department of Physical Therapy, Belmont University, Nashville, TN, USA.
Department of Nurse Anesthesia, Middle Tennessee School of Anesthesia, Madison, TN, USA.
J Man Manip Ther. 2024 Oct;32(5):524-530. doi: 10.1080/10669817.2024.2355007. Epub 2024 May 20.
To assess needle placement accuracy in the rectus abdominis (RA) muscle during dry needling (DN) without entering the peritoneum.
Two physical therapists performed DN on a cadaver, making 10 attempts each to needle the RA without entering the peritoneum. Techniques followed two common DN approaches. Ultrasound verified needle depth and safety.
Seventy percent of attempts were recorded as safe needle placement, while 30% were unsafe. Accurate RA needle placement without peritoneal entry occurred in 55% of attempts.
DISCUSSION/CONCLUSION: Inadvertent peritoneal needle placement during RA DN poses risks regardless of experience. Ultrasound guidance may enhance safety and precision in clinical practice.
评估在不进入腹膜的情况下，进行直肌（RA）肌内针刺（DN）时的针置准确性。
两名物理治疗师在尸体上进行 DN，每次尝试不进入腹膜针刺 RA 各 10 次。采用两种常见的 DN 方法。超声验证了针的深度和安全性。
70%的尝试被记录为安全的针置，而 30%的尝试是不安全的。在 55%的尝试中，RA 针安全地不进入腹膜而准确地置针。
讨论/结论：无论经验如何，在 RA DN 过程中意外进入腹膜的针置都会带来风险。超声引导可能会提高临床实践中的安全性和精确性。
