摘要
目的探讨超声在髋关节穿刺导向的应用价值,以及关节间隙作为穿刺点在无关节腔积液患者穿刺中的优势。方法对确诊为强直性脊柱炎或骨性关节炎累及髋关节的43例患者共计82个关节,以髋臼与股骨头之间的关节间隙为穿刺靶点,进行超声引导下关节穿刺注药。记录穿刺次数、穿刺深度、所用时间、副作用及并发症。结果82个髋关节腔均能在超声图像上清晰显示,左、右髋关节穿刺深度分别为(3.4±0.9)cm和(3.1±0.8)cm。95.1%的关节穿刺1次即进入关节腔,所有关节最后均穿刺成功,穿刺成功率为100%。操作所用时间为(287.9±45.8)s。术后未发现与操作相关的并发症。结论超声可作为位置深在的髋关节穿刺治疗时的首选引导方法,而关节腔无积液患者可首选关节间隙作为穿刺靶点。
Objective To evaluate the value of ultrasonography for arthrocentesis in the hip and the advance of the femoral head/acetabulum as the puncture location in patients without sonographically obvious joint effusion. Methods Forty three patients diagnosed with ankylosing spondylitis or osteoarthritis were included, 82 hip joints were involved and received ultrasounded-guided intra-articular injections. The puncture site was the joint space between the femoral head and the acetabulum. The times,depth,procedure time,side effects and complications of each injection were recorded. Results All 82 hips could be explicitly displayed. The depths from the skin surface to the joint space were (3.4 ± 0.9)cm (left) and (3.1 ± 0.8)cm (right) ,respectively. Overall, 100% of hip joints were punctured successfully, and 95.1% of them were succeeded with the first arthrocentesis. The procedure time was (287.9 ± 45.8)s. No side effects or complications were observed. Conclusions The sonographic technique could be used as a primary method of image guidance for performing hip arthrocentesis and the joint space between the femoral head and the acetabulum could be a choice of target location for the patients without joint effusion.
出处
《中华超声影像学杂志》
CSCD
北大核心
2012年第1期56-59,共4页
Chinese Journal of Ultrasonography
关键词
超声检查
髋关节
穿刺术
Ultrasonography
Hip joint
Punctures