患者体表前、中、后路右颈内静脉定位准确率的超声学研究
投稿时间:2015-01-26  修订日期:2015-02-09  点此下载全文
引用本文:高万露,汪小海.患者体表前、中、后路右颈内静脉定位准确率的超声学研究[J].医学研究杂志,2015,44(10):149-151
DOI: 10.11969/j.issn.1673-548X.2015.10.042
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作者单位E-mail
高万露 210008 南京医科大学鼓楼临床医学院麻醉科  
汪小海 210008 南京医科大学鼓楼临床医学院麻醉科 519602322@qq.com 
中文摘要:目的 分析超声下患者体表前路、中路、后路右颈内静脉定位的准确性。 方法 将64例全身麻醉的患者纳入该研究中,患者全身麻醉后去枕平卧,每位患者均在头部向左旋转0°、30°及80°下按照右颈内静脉解剖体表标志定位前路、中路、后路并做标记,然后使用二维超声评估解剖定位的准确性。 结果 头部旋转0°时前路和中路定位的准确率均显著高于后路;头部旋转30°时,前路定位的准确率高于后路,中路与后路差异无统计学意义;头部旋转80°时各定位点准确率差异无统计学意义。 结论 使用解剖标志定位颈内静脉时,不同定位点的准确率不同。
中文关键词:超声  颈内静脉  解剖标志
 
Accuracy of Classical Anatomical Landmark Technique (Anterior, Central, and Posterior Approach) for Internal Jugular Vein by Ultrasound Technique
Abstract:Objective To explore the accuracy rate of classical anatomical landmark technique (anterior, central, and posterior approach) for internal jugular vein (IJV) by ultrasound technique. Methods Sixty-four patients with selective operation were included in this study. The anesthetist marked the anterior approach, central approach, and posterior approach for internal jugular vein at 0° (neural), 30°,and 80° of head rotation, respectively. The accuracy of each anatomical landmark were examined by other anesthetist with ultrasound technique. Results The accuracy rate of anterior approach and central approach were significantly higher than posterior approach at 0° of head rotation, respectively. The accuracy rate of anterior approach was higher than posterior approach at 30° of head rotation. The accuracy rate was similar among anterior, central, and posterior approach at 80° of head rotation. Conclusion The accuracy rate was different in different approach of anatomical landmark for internal jugular vein.
keywords:Internal jugular vein  Anatomical landmark  Ultrasound
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