Percutaneous chemical nerve block with ultrasound-guided intraneural injection

被引：17

作者：

Lee, Jongmin ^{[1
]}

Lee, Yang Soo ^{[2
]}

机构：

[1] Kyungpook Natl Univ Hosp, Dept Diagnost Radiol, Taegu 700721, South Korea

[2] Kyungpook Natl Univ Hosp, Dept Phys Med & Rehabil, Taegu 700721, South Korea

来源：

EUROPEAN RADIOLOGY | 2008年 / 18卷 / 07期

关键词：

nerve block; muscle spasticity; ultrasonic imaging;

D O I：

10.1007/s00330-008-0909-x

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 [临床医学]; 100207 [影像医学与核医学]; 1009 [特种医学];

摘要：

Ultrasound-guided, intraneural chemical nerve block was performed to control intractable limb spasticity and its feasibility was evaluated. Twenty-nine patients showing spastic limb were controlled by 53 intraneural injections of chemical agents, either lidocaine or phenol. The main targets were the sciatic, tibial and musculocutaneous nerves. After identification of the spastic muscle and target nerve, an ultrasound-guided, intraneural injection was administered through a 25-G needle. The average effective duration was 9.1 +/- 19.6 days in the lidocaine injection group and was 164.5 +/- 169.4 days in the permanent blocking group with phenol injection. The ultrasound-guided intraneural injection technique was convincing. Intraneural injection of phenol achieved long-lasting improvement of spasticity.

引用

页码：1506 / 1512

页数：7

共 25 条

[1]

BOTTE MJ, 1995, ORTHOPEDICS, V18, P151

[2]

Brin MF, 1997, MUSCLE NERVE, pS146

[3]

ROLE OF NERVE BLOCKS IN THE FOOT AND ANKLE IN CEREBRAL-PALSY - THERAPEUTIC AND DIAGNOSTIC [J].