侧面的atlanto-axial关节接入使用C2脚架
Christopher Zarembinski1, Robert Wright1
1Department of Anesthesiology, The Pain Center, Cedars Sinai Medical Center, Los Angeles, United States.
Pain medicine (Malden, Mass.)
|June 29, 2024
概括
一种新的技术可以安全地访问侧面的亚特兰托轴关节 (LAA),用于疼痛诊断. 这种方法避免了关键的神经血管结构,为治疗来自LAA关节的部疼痛和头痛提供了更安全的替代方案.
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:
- 部疼痛和头痛可能起源于侧面的亚特兰托轴 (LAA) 关节.
- 诊断通常涉及关节内注射,但传统的后部方法由于附近的重要结构而带来风险.
- 这些风险包括靠近脊椎动脉,持续囊和C2脊髓神经.
研究的目的:
- 描述和评估一种用于访问LAA联合的新技术.
- 新的方法旨在规避危险的后部结构.
- 这种技术旨在提高诊断LAA关节相关疼痛的安全性.
主要方法:
- 开发了一种新的针插入技术,针对LAA关节.
- 轨迹与C2片的背面接触.
- 在10名患有单侧下头疼痛和LAA关节关节病变的患者中,使用了下降的C2片面和C2脚视图.
主要成果:
- 在所有患者中,C2足标被一致且易于识别.
- 针成功地通过了后部神经血管结构的下面,没有并发症.
- 来自C2片的触觉反引导精确的针深度尾部到LAA关节.
结论:
- 描述的技术可以安全有效地进入侧面的atlanto-axial关节.
- 它成功地避免关节后部的关键神经血管结构.
- 这种方法为LAA联合干预和诊断提供了有价值的替代方案.
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