Schratter M, Bijak M, Nissel H, Gruber I, Schratter-Sehn A U
Zentralröntgeninstitut, Kaiserin-Elisabeth-Spital der Stadt Wien.
Rofo. 1997 Jan;166(1):69-71. doi: 10.1055/s-2007-1015380.
Evaluation of the incidence of a midline sternal foramen, as a developmental anomaly, in order to avoid fatal complications following sternal puncture of sternal acupuncture treatment.
100 chest computed tomograms were evaluated in reference to the incidence of this anomaly and its various features.
The variety of CT aspects ranged from very incomplete types with only sandglass-like retraction of sternal cortex, to a complete foraminal defect. The incidence of midline sternal foramen in a feature bearing a risk of complication, is approximately 6%.
We conclude that--if sternal acupuncture is planned in the region of corpus--previous radiographs should be done to rule out this anomaly. Furthermore, we strongly recommend the acupuncture technique of the "Wiener Schule", which prescribes a safe superficial-oblique approach to the sternum.
评估作为一种发育异常的胸骨中线孔的发生率，以避免在胸骨针刺治疗的胸骨穿刺后出现致命并发症。
参照这种异常的发生率及其各种特征，对100份胸部计算机断层扫描图像进行了评估。
CT表现的多样性范围从非常不完全的类型，即仅有胸骨皮质的沙漏样回缩，到完全的孔缺损。存在并发症风险特征的胸骨中线孔的发生率约为6%。
我们得出结论——如果计划在胸骨体区域进行胸骨针刺，应先进行X线片检查以排除这种异常。此外，我们强烈推荐“维也纳学派”的针刺技术，该技术规定了一种安全的经皮斜刺胸骨入路。
