초음파 유도하 관절내 주사
Ultrasound-guided Intra-Articular Injections
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참고문헌
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초록
초음파 유도는 관절 주사의 정확성을 높이고, 혈관, 신경등의 주요 구조물의 손상을 피할 수 있는 장점을 지니며, 외래 진료실에서 쉽게 적용할 수 있는 편의성을 가지는 유용한도구이다. 그러나 현재까지 관절 주사시 초음파 유도는 제한적으로 사용되고 있으며, 적응증과 수기에 대한 표준화된 지침이 없는 실정이다. 근골격계 초음파가 관절질환을 다루는임상 의사라면 반드시 숙지해야 할 필수 검사로 자리 잡아가고 있는 만큼 초음파 유도하 주사에 대한 많은 연구와 함께, 다양한 교육 과정이 마련되어야 할 것이다.
Abstract
Ultrasonography (US) is being used increasingly to guide diagnostic and therapeutic musculoskeletal injections. Intra-articular injection is an important mainstay in the treatment of joint diseases, including rheumatoid arthritis (RA) and osteoarthritis (OA). However, blind or palpation-based injection can result in inaccurate needle placement and can be challenging for small joints or difficult-to-access joints such as the hip joint. The correct position of the needle with guidance in the target area would improve the efficacy of the procedure and greatly improve the outcome. Compared to conventional fluoroscopic guidance, the advantages of US are that it avoids radiation exposure and the equipment is readily available and less expensive. Knowledge of anatomy and probe positioning, as well as the ability to coordinate the probe and needle are necessary when injecting patients under US guidance. This review describes the general considerations for intra-articular injections under US guidance and includes practical suggestions for the injection of individual joints.
참고문헌 (25)
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