摘要
目的 探讨经臀骶髂关节 (sacroiliacjoint,SIJ)穿刺最佳途径的体表定位。方法 选择 30例血清阴性脊柱关节病病人 ,于其体表标志髂后上棘处固定一直径为 10mm圆形金属标记物 ,行骶骼关节CT扫描并观察。结果 分析 30例脊柱关节病病人骶髂关节CT片 ,层厚 5mm ,以标记物为 0层 ,可穿刺层面第 3层占 33 3%(10 / 30 ) ,第 4层 10 0 % (30 / 30 ) ,第 5层 10 0 % (30 / 30 ) ,第 6层 90 % (2 7/ 30 ) ,第 7层 43 3% (13/ 30 ) ,故最佳穿刺层面为第 4、5、6层。进针体表定位点距中线均在 0～ 2 0 8mm范围内。结论 经臀骶髂关节穿刺的最佳穿刺部位进针的体表定位为髂后上棘向下 (18 5± 2 3)mm～ (31 7± 3 3)mm ,旁开中线 0～ (2 0 8± 1 9)
Objective To probe the best location of body surface for sacroiliac joint puncture through buttocks.Methods Thirty patients with spinal osteoarthritis were selected.A metal label with a diameter of 10 mm was fixed on the posterior superior iliac spine according to the landmark of body surface of each patient,then CT scanning was made and observed.Results The layers(the thickness of each layer 5 mm) of CT sheets of these patients with spinal osteoarthritis were analysed,showing that if the label was taken as 0 layer,the puncturable one was 33.3%(10/30) in the third layer,100%(30/30)in the fourth layer,also 100%(30/30) in the fifth layer,90%(27/30) in the sixth layer and 43.3%(13/30) in the seventh layer.So the best puncturable layers were the fourth,the fifth and the sixth.The body surface location for the sacroiliac joint puncture was within 0～(20.8±1.9) mm of the medial line.Conclusion The optimal surface location for the via-buttocks sacroiliac joint puncture is the range between (18.5±2.3) mm and (31.7±3.3) mm below the posterior superior iliac spine,0～(20.8±1.9) mm sideward from the medial line.
出处
《中国药物与临床》
CAS
2002年第5期299-301,共3页
Chinese Remedies & Clinics
基金
山东省枣庄市科委资助项目 ( 2 0 0 16 77)
