摘要
[目的]探讨非引导下改良Nevaiser入路行肱关节腔穿刺的准确性及安全性。[方法]对90例盂肱关节腔造影患者,根据其ID号进行简单随机分组,分别采用改良Nevaiser入路、前方入路、后方入路行盂肱关节腔穿刺45、20、25例,并注射造影剂;比较3种方法造影剂显影位置并计算穿刺成功率,观察各组不良反应及并发症。[结果]改良Nevaiser入路、前方入路和后方入路穿刺成功率分别为91.1%、50%、76%。前方入路组5例(25%)术后穿刺部位出现持续疼痛且>4h;3组穿刺术后均未出现并发症。[结论]改良Nevaiser穿刺入路成功率高、安全可靠、患者依从性好,值得推广。
[ Objective] To evaluate the accuracy of glenohumeral joint intra - articular injection without any guidance through modified Nevaiser approach. [ Method] Ninety patients were randomly devided into three groups. Each group received injections of constrast medium without any guidance through one of the three approach： anterior, posterior and modified Nevaiser portal. The accuracy of each approach was by the location of constrast medium and the patients＇ postoperative condition of different approach was compared defermined, and the accuracy of glenohumeral injection through modified Nevaiser approach were evaluated. [ Result ] Accuracy rates of three approach were as follows ： anterior 50% （ n = 20）, posterior 76% （ n = 25 ）, and modified Nevaiser approach 91.1% （ n = 45 ）. Of all patients, 5 （ 25% ） were patients from anterior approach group complained of servere pain （ 〉 24 h） with VAS ranging from 5 -9 points. There was no occurrence of severe complications such as infection or shoulder malfunction. [ Conclusion ] The technique of glenohumeral joint injection without any guidance through modified Nevaiser approach is highly accurate. No complication was noted. This thechnique be widely used in glenohumeral joint injection.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2009年第10期750-752,共3页
Orthopedic Journal of China
