其他皮肤穿刺穿刺路线:宫,胸部,腰部和圣殿
Tarik F Massoud1, Bryan A Lanzman2
1Department of Radiology, Division of Neuroimaging and Neurointervention, Stanford Initiative for Multimodality Neuro-Imaging in Translational Anatomy Research (SIMITAR), Stanford University School of Medicine, Stanford Health Care, Stanford, USA; Department of Radiology, Stanford University Center for Academic Medicine, Radiology, MC: 5659, 453 Quarry Road, Palo Alto, CA 94304, USA.
替代性腰部穿刺 (LP) 技术在标准方法失败时,提供了至关重要的进入脊柱下椎空间的机会. 本综述详细介绍了在具有挑战性的案件中不太常见的方法及其相关风险.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
- 医疗成像医学成像
背景情况:
- 在一些患者中,标准腰部刺穿 (LP) 可能是困难或不可能的.
- 有时需要使用其他通往脊髓下大脑底层空间的通道.
- 某些替代的LP方法很少被使用,并带有风险.
研究的目的:
- 审查通过皮肤插入脊柱针的替代技术.
- 讨论这些替代LP方法的缺点和并发症.
- 为提供指导,当标准LP是不可行的时,访问脊柱持续囊.
主要方法:
- 关于替代腰部穿刺技术的文献综述.
- 对各种接入路径的程序步骤的分析.
- 评估报告的并发症和禁忌.
主要成果:
- 存在多种替代性的皮肤穿方法,用于脊髓长囊.
- 这些方法的复杂性和潜在的并发症各不相同.
- 操作员的经验是程序成功和安全的重要因素.
结论:
- 当标准方法违禁或不成功时,替代LP技术至关重要.
- 仔细考虑技术,风险和操作员经验是必不可少的.
- 这些替代方法为特定的临床适应症提供了必要的访问.
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