在胸腔腹区域干针时安全考虑:一个尸体研究
Christi L Williams1, Christian R Falyar2, Ryan C McConnell1
1Physical Therapy Belmont University.
International journal of sports physical therapy
|December 5, 2023
概括
腰部多管体的干针可能会在T12/L1间隙进入脊柱通道的风险. 超声波引导的尸体研究证实,针头可以通过一种特定的技术穿透带.
科学领域:
- 人体解剖学 解剖学 解剖学
- 物理疗法物理治疗
- 医疗成像医学成像
背景情况:
- 腰部多管肌肉的干针是治疗腰部疼痛的常见物理治疗方法.
- 以前的研究集中在腰椎上部的脏和肺部安全.
- 在该地区干针时脊柱管道透的风险仍未得到充分研究.
研究的目的:
- 为了研究干针穿透在T12/L1间隙的状带的潜力.
- 要确定针是否可以通过干针时的参数介质方法进入脊柱通道.
- 在尸体模型中利用超声波指导.
主要方法:
- 一个新鲜冷,轻微固定的人类尸体被用在倾斜的位置.
- 使用超声波指导来监测针头的前进.
- 一个0.30x50毫米的干针被插入1.0厘米侧面的T12棘状过程,指向中部在22度的角度.
主要成果:
- 超声波成像证实,干针成功穿透了带.
- 针在T12/L1间隙进入脊柱通道.
- 使用指定技术的参数介质方法允许进入脊髓管道.
结论:
- 这项对尸体的研究表明,干针可以穿透状带,并在T12/L1交叉点进入脊柱通道.
- 这些发现强调了解剖学知识和超声指导的重要性,以最大限度地降低胸腔腹多管干针时的风险.
- 这种跨专业的合作为物理治疗师提供了关键的安全见解.
相关概念视频
Radiological Investigation III: Pulmonary Angiogram and PET Scan
Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Endoscopic Studies II: Thoracocentesis
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Assessment of the Abdomen III: Palpation
Palpation is a crucial tactile examination method for assessing abdominal organs and detecting conditions like tenderness, distention, masses, or fluid. It involves both light and deep palpation techniques, each serving specific diagnostic purposes. Light palpation helps identify tenderness and other surface-level indicators, while deep palpation locates and assess abdominal masses and organ boundaries. A skilled professional can gather valuable insights through palpation, including evaluating...
Assessment of the Rectum and Anus
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...


