CN108542473A

CN108542473A - A kind of guiding of ultrasonic and injecting method

Info

Publication number: CN108542473A
Application number: CN201810178012.1A
Authority: CN
Inventors: 余学致
Original assignee: Individual
Current assignee: Individual
Priority date: 2018-03-05
Filing date: 2018-03-05
Publication date: 2018-09-18

Abstract

The present invention relates to a kind of guiding of ultrasonic and injecting methods, subacromial bursa can be allowed to be easier to develop under ultrasonic along with the pressure of the hand appropriateness of the sufferer other side writes elbow joint with unique pendulum pose gesture, and can be under supraspinatus tendon long axis by proximal end inserting needle；Due to unique pendulum pose gesture can position drain subacromial bursa hydrops, and ultrasound scanner head is moved near greater tubercles of humerus under sagittal plane, is aspirated hydrops by proximal end.Inward turning greater tubercles of humerus is can reach by the technological means of this case, prevents shoulder blade from blocking subacromial bursa development, and be easy inserting needle.

Description

A kind of guiding of ultrasonic and injecting method

【Technical field】

The present invention relates to a kind of guiding of ultrasonic and injecting methods.

【Background technology】

The lower injection of subacromial bursa 1 of skeletal muscle ultrasonic guiding is the technology being widely used in recent years；Its main purpose It is that 1 hydrops of subacromial bursa is aspirated or injected the injection with analgesic effect in subacromial bursa 1, shoulder production can be slowed down Raw severe pain sense.

Fig. 1 is the structural map of subacromial bursa 1, and subacromial bursa 1 is located between 2 lower section of shoulder blade and greater tubercles of humerus 3, In order to detect 1 position of subacromial bursa, doctor may require that sufferer inserts waist handle and is placed in hip mode, be visited by ultrasonic equipment Location postpones, and is aspirated by above-mentioned injection or by 1 hydrops of subacromial bursa.

But clinically sufferer with insert waist posture detection subacromial bursa 1 position and the treatment being injected or aspirated Journey is it is often found that following problem：

(1) subacromial bursa 1 is easy to block by acromion or by greater tubercles of humerus 3, causes to allow angle is limited easily accidentally to pierce into needle Greater tubercles of humerus；

(2) in injection or suction, and two kinds of distal end inserting needle or proximal end inserting needle, for the inserting needle of distal end, used inspection can be divided into Survey mode patient needs contracting work neck and syringe needle, and slightly inserting needle, such posture can cause feel between doctor and sufferer upward By awkward uncomfortable with sitting posture, and distal end inserting needle is inserting needle from lower to upper, and range is relatively narrow (about needle angle is less than 10 °), Greater tubercles of humerus 3 blocks inserting needle direction, easy to produce be inserted into it is too deep touch greater tubercles of humerus 3, if enter needle angle it is too shallow if can not Inside to deltoid muscle；

(3) then inserting needle, easy blocked by the bone of 2 lower edge of omoplate cause inserting needle difficult to proximal end inserting needle from top to bottom, inserting needle angle Degree is then unavoidably quite steep, and ultrasound probe is not easy that syringe needle is allowed to develop；

(4) by insert waist handle be placed in also result in a manner of hip sufferer and doctor the process of detection or injection inserting needle quite it is tired；

(5) posture that existing slotting waist handle is placed in hip is unable to reach the effect of drainage hydrops, in the case where ultrasonic equipment is shown Doctor's interpretation data can be caused incorrect without removing suction hydrops so that still to feel uncomfortable after sufferer is medical.

【Invention content】

It is an object of the invention to：It is in view of the drawbacks of the prior art and insufficient, provide a kind of reasonable design ultrasonic guiding and Injecting method allows ultrasound scanner head in detecting, can keep and surpass when ultrasound scanner head being allowed to show by unique pendulum pose gesture The screen parastate of sound wave machine provides the inserting needle posture of doctor's the most comfortable, and subacromial bursa is allowed to be easy development.

To achieve the above object, the technical solution adopted by the present invention is：A kind of ultrasonic guidance method, including walk as follows Suddenly：

Step 1：Hand is shakeout and is stretched；

Step 2：Downward, arm is rotated towards ventral direction in the centre of the palm；

Step 3：Another hand is caught to the elbow of rotary side；

Step 4：The sagittal plane near a greater tubercles of humerus is moved to by the probe of ultrasonic equipment；

Step 5：One subacromial bursa is shown in display via the probe of above-mentioned ultrasonic equipment.

A kind of injecting method guided by ultrasonic, includes the following steps：

Step 1：Using the ultrasonic guidance method described in right above-mentioned technical proposal；

Step 2：By an injection needle by, by proximal end inserting needle, and the ultrasound scanner head moves on to sagittal plane under supraspinatus tendon long axis.

In the present invention：The injection needle is the hydrops for extracting the subacromial bursa out.

In the present invention：The injection needle needle angle is 15 ° or more inserting needles.

In the present invention：When the ultrasound scanner head moves on to sagittal plane, the picture of the ultrasound scanner head and display is kept It is parallel

With the above structure, the present invention has the beneficial effect that：

(1), via unique pendulum pose gesture of ultrasonic guiding, sufferer need not draw back one's neck, and doctor need not also jackknife and examine It surveys；It is between sufferer and doctor in other words to carry out ultrasonography in the case of most comfortable and guide the position of subacromial bursa It sets；

(2), subacromial bursa being detected through ultrasonic equipment by uniqueness pendulum pose gesture, the intracapsular hydrops of the subacromial is concentrated, And ultrasonic equipment accurately develops, and doctor can be assisted quickly to determine whether to suction hydrops；

(3), unique pendulum pose potential energy avoids the bone of shoulder blade lower edge from blocking subacromial bursa, is by supraspinatus flesh when inserting needle By proximal end inserting needle under tendon long axis, there is high accuracy, and make doctor quite comfortable in operation, carry out subacromial bursa note It penetrates, injection needle is avoided to be inserted into bone or the position without reaching subacromial bursa；

(4), another feature of this case is quite effective for treatment supraspinatus tendon Calcified inflammation, in the firefly of ultrasound machine The injection of subacromial bursa is carried out under curtain parastate so that subacromial bursa is slightly expanded so that syringe needle is easy in subacromial Intracapsular vernier angle, then windowing is carried out back and forth for the lesion of calcification.

【Description of the drawings】

Attached drawing described herein is to be used to provide further understanding of the present invention, and is constituted part of this application, but not Inappropriate limitation of the present invention is constituted, in the accompanying drawings：

Fig. 1 is the structural map of subacromial bursa；

Fig. 2 is the action schematic diagram of the prior art；

Fig. 3 is the ultrasonic guidance method action schematic diagram of the present invention, represents the state that the hand of sufferer stretches；

Fig. 4 is another ultrasonic guidance method action schematic diagram of the present invention, represents sufferer full wind-up state；

Fig. 5 is the another ultrasonic guidance method action schematic diagram of the present invention, represents sufferer and another hand is caught rotation The elbow of side；

Fig. 6 is development state of the unique pendulum pose gesture of the invention under ultrasonic equipment, wherein the subacromial bursa thickness is about 0.98 centimeter can aspirate hydrops；

Fig. 7 is present invention inserting needle schematic diagram in proximal end under sagittal plane；

Fig. 8 is ultrasonic figure of the present invention in receiving accretion liquid；

Fig. 9 is that the present invention is receiving the ultrasonic figure for sucking hydrops；

Figure 10 is the schematic diagram of needle angle of the present invention；

Figure 11 is that the present invention is applied in treatment supraspinatus tendon Calcified inflammation schematic diagram.

In figure：Wherein, 1, subacromial bursa；2, shoulder blade；3, greater tubercles of humerus；A, hand；A1, the centre of the palm；B, hand；SP, arrow Shape face；.

【Specific implementation mode】

Below in conjunction with attached drawing and specific embodiment, the present invention will be described in detail, and illustrative examples therein and explanation are only For explaining the present invention, but it is not as a limitation of the invention.

Such as Fig. 3 to 6 figures, a kind of ultrasonic guidance method of the invention includes the following steps：

Step 1：It is stretched as shown in figure 3, hand A is shakeout；

Step 2：As shown in figure 4, centre of the palm A1 is outwardly, arm is rotated towards ventral direction；

Step 3：As shown in figure 5, another hand B to be caught to the elbow or elbow joint of the hand A of rotary side；

Step 4：As shown in fig. 6, the probe through a ultrasonic equipment moves to the sagittal plane near a greater tubercles of humerus 3 (below Component symbol is represented with SP) under；

Step 5：As shown in fig. 6, a subacromial bursa 1 is shown in a display by the probe via the ultrasonic equipment.

Through above-mentioned step method, the doctor and sufferer of this case keep writing normal sitting posture during detection Subacromial detection is carried out, since inward turning is all presented in the shoulder blade 2 and greater tubercles of humerus 3 of sufferer so that the spy of ultrasonic equipment Head can accurately detect the position of subacromial bursa 1.Also, sufferer can allow subacromial bursa 1 in the case where this case uniqueness puts pose gesture Concentrate hydrops (position drains pooling effect) therefore, can accurately be by subacromial bursa 1 after being detected through ultrasonic It is shown in a display, doctor can penetrate under the image measurement of ultrasonic equipment, correctly be made whether the decision of hydrops to be aspirated, In general hydrops is that can not aspirate hydrops less than 0.5 centimeter or less, and hydrops can be concentrated and aspirated by the technology that this case is provided.

In above-mentioned embodiment, if when sufferer inconvenience full wind-up, also can pass through following methods and reach pendulum pose gesture, Same first to stretch hand A, now rotates body and catches elbow of shaking hands towards work orientation arm, then with another B, you can reaches 3-5 figures Pendulum pose gesture.

Fig. 7 to Figure 10 is please referred to, this case further can derive an injecting method by above-mentioned ultrasonic guidance mode It includes：(1) ultrasonic guidance method above-mentioned is applied；(2) by an injection needle by under supraspinatus tendon long axis by proximal end inserting needle, And the ultrasound scanner head moves on under sagittal plane SP, can smoothly aspirate 1 hydrops of subacromial bursa in 3 outside of greater tubercles of humerus.

Please continue to refer to Fig. 6 to Fig. 9, in the present embodiment mainly to aspirate 1 hydrops of subacromial bursa；As shown in fig. 6, Under uniqueness pendulum pose gesture, subacromial bursa 1 can be allowed to concentrate hydrops, in figure 6 about 0.98 centimeter of the hydrops of subacromial bursa 1, Hydrops can be aspirated, as shown in fig. 7, doctor can pass through injection needle by, by proximal end inserting needle, and this is super under supraspinatus tendon long axis Sound wave probe moves on to sagittal plane SP, and in Fig. 7, in inserting needle, injection needle will not be blocked by shoulder blade 2, relatively easy inserting needle, Doctor can be according to the angle of the fine position injection needle of hydrops, if Fig. 8 is the process in suction hydrops, and doctor is by subacromial The hydrops of capsule 1 is gradually extracted out, and the subacromial bursa 1 can gradually return to original size after hydrops is extracted out；Such as Fig. 9 institutes Show, the state after the hydrops of subacromial bursa 1 is fully drawn out, accordingly, the feeling of pain of sufferer can be slowed down, can also inject certainly such as The injection what subacromial bursa 1 of anodyne mitigates feeling of pain and increases resume speed.

As shown in Figure 10, through the technology of this case since shoulder blade 2 and greater tubercles of humerus 3 will not block inserting needle direction and position It sets, therefore, the technology provided through the invention can generally allow by 15 ° or more, compared to the prior art from needle angle Doctor will be for less than 10 ° inserting needle modes, and technology of the invention can mitigate the difficulty of doctor's inserting needle, and can be uncomfortable to sufferer Place is handled.

As shown in Fig. 6 to Figure 10, by the technology of this case, when ultrasound scanner head is moved on to sagittal plane SP by doctor, the Supersonic The picture keeping parallelism that wave is popped one's head in display, doctor more specific can aspirate into for hydrops.

As shown in figure 11, another feature of this case is for treatment supraspinatus tendon Calcified inflammation (Calcifying Tendonitis of SST) quite effectively, in screen parastate (the songraphic coronal of ultrasound machine Plane under) carry out subacromial bursa injection so that subacromial bursa slightly expand make syringe needle be easy it is intracapsular in subacromial Vernier angle, then windowing (as shown in figure 11) is carried out back and forth for the lesion of calcification.

The above is only a preferred embodiment of the present invention, it is noted that for the ordinary skill people of the art For member, without departing from the technical principles of the invention, several improvement and replacement can also be made, these improve and replace Also it should be regarded as protection scope of the present invention.

Claims

1. a kind of ultrasonic guidance method, it is characterised in that：Include the following steps：

Step 1：Hand is shakeout and is stretched；

Step 3：Another hand is caught to the elbow of rotary side；

2. a kind of injecting method guided by ultrasonic, it is characterised in that：Include the following steps：

Step 1：Using the ultrasonic guidance method described in claim 1；

3. a kind of injecting method guided by ultrasonic according to claim 2, it is characterised in that：The injection needle It is the hydrops for extracting the subacromial bursa out.

4. a kind of injecting method guided by ultrasonic according to claim 2, it is characterised in that：The injection needle into Needle angle is 15 ° or more inserting needles.

5. a kind of injecting method guided by ultrasonic according to claim 2, it is characterised in that：It is described

When ultrasound scanner head moves on to sagittal plane, the picture keeping parallelism of the ultrasound scanner head and display.