精度和安全性的比较,使用三个公认的超声波导向方法对宫中间分支块进行比较:尸体研究
Agnes R Stogicza1, Alan Berkman2, Andre Marques Mansano3
1Saint Magdolna Private Hospital, Budapest, Hungary.
Pain physician
|January 29, 2024
概括
芬莱森 (Fi) 方法对于超声导向的宫中间分支块 (CMBB) 比艾亨伯格-西根塔勒 (ES) 方法更安全. 虽然ES提供了更高的精度,但Fi提供了与较少风险相匹配的精度,使其成为更安全的CMBB程序的首选选择.
科学领域:
- 疼痛管理 疼痛管理
- 干预性放射学 干预性放射学
- 人体解剖学 解剖学 解剖学
背景情况:
- 超声波 (US) 指导对于宫中间分支块 (CMBB) 和射频切除是常见的.
- 关于CMBB中针头定位的不同美国指导方法的比较研究有限.
研究的目的:
- 评估三种不同的超声波引导方法的准确性和安全性,以执行CMBB.
- 比较艾亨伯格-西根塔勒 (ES),芬莱森 (Fi) 和修改后芬莱森 (FiM) 技术的疗效.
主要方法:
- 一个尸体研究,涉及超声波引导的针放置和光镜评估.
- 三种方法进行了比较:ES (冠状平面),Fi (横平面) 和FiM (修改的Fi).
- 针位置被评估为粗的准确性,高精度和危险的定位.
主要成果:
- 在这三种方法中,原始定位精度没有显著差异 (75.679.5%).
- 与Fi (22.7%) 和FiM (24.4%) 相比,ES方法实现了显著更高的高精度放置 (42.9%).
- Fi和FiM没有危险的位置,而ES导致了三种神经根和脊椎动脉的潜在损害.
结论:
- 对于CMBB,Finlayson (Fi) 方法比ES方法更安全.
- 虽然ES提供了更高的精度,但Fi提供了与提高安全性的可比精度.
- 通过超声波确定宫水平仍然具有挑战性,建议同时进行光镜检查.
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