| 张明凯,王子淳,赵 南,Bhargava Divija,吴佳宁,赵世光,张大明.超声引导下腰椎穿刺术应用及研究进展 [J].,2025,(6):1113-1120 |
| 超声引导下腰椎穿刺术应用及研究进展 |
| Advancements in Ultrasound-Guided Lumbar Puncture:A Comprehensive Review |
| 投稿时间：2024-11-25 |
| DOI：doi: 10.13241/j.cnki.pmb.2025.06.017 |
| 中文关键词: 超声引导 腰椎穿刺术 神经外科疾病 药物浓度检测 |
| 英文关键词: Ultrasound Guidance Lumbar Puncture Neurosurgical Diseases Drug Detection |
| 基金项目:黑龙江省政府博士后资助经费课题 （LBH-Z14213）；
深圳市科技计划资助项目（JCYJ20210324100001004）；
哈医大一院临床医学教育改革工程项目重点项目（YDYYJX202203） |
|
| 摘要点击次数: 1460 |
| 全文下载次数: 1703 |
| 中文摘要: |
| 摘要：超声辅助腰椎穿刺术相比传统定位穿刺可以直观了解触诊无法获取的解剖学信息，如黄韧带深度、腰椎间隙宽度和脊柱异常等。超声下充分评估腰椎结构及精准定位可以提高腰椎穿刺成功率，减少创伤性穿刺次数，同时能够减少操作时间，提高患者满意度。本文基于系统回顾，探讨近年来超声引导下腰椎穿刺技术在国内外的应用及进展。进一步探索实时超声引导腰椎穿刺的新方法、着重培养临床床旁超声学习及应用流程，以促进超声引导下腰椎穿刺技术的推广应用，建立该技术临床应用的诊疗规范。 |
| 英文摘要: |
| ABSTRACT: It reviews various aspects of the ultrasound-guided lumbar puncture technique including its development, current research status worldwide, advantages, real-time ultrasound guidance, and the application scope. Ultrasound technology provides detailed anatomical insights, including measurements of the depth of the supraspinous ligament, interspinous space width, and identification of spinal anomalies that are inaccessible through manual palpation. A thorough ultrasonographic assessment of the lumbar spine structure and precise localization can enhance the success rate of lumbar puncture procedures, reduce the number of traumatic punctures, and concurrently decrease pain and operative time. It will also help young doctors overcome their lack of experience and enhance their confidence when facing complex cases. This article systematically reviews the recent worldwide applications and advancements in lumbar puncture techniques under ultrasound guidance. Future research will focus on new needle-tracking technologies, clinical training models, and application processes to enhance their role in the procedure and establish diagnostic and therapeutic guidelines for lumbar puncture. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|
