超声引导下腰椎穿刺术应用及研究进展  

Advancements in Ultrasound-Guided Lumbar Puncture:A Comprehensive Review

作　　者：张明凯 王子淳 赵南Bhargava Divija 吴佳宁[1,3] 赵世光 张大明[1] ZHANG Ming-kai;WANG Zi-chun;ZHAO Nan;Bhargava Divija;WU Jia-ning;ZHAO Shi-guang;ZHANG Da-ming(Department of Neurosurgery,First Affiliated Hospital of Harbin Medical University,Harbin,Heilongjiang,150001,China;Department of Radiation Oncology,China-Japan Union Hospital of Jilin University,Changchun,Jilin,130033,China;Department of Neurosurgery,Shenzhen University General Hospital,Shenzhen University,Shenzhen,Guangdong,518000,China)

机构地区：[1]哈尔滨医科大学附属第一医院神经外科,黑龙江哈尔滨150001 [2]吉林大学中日联谊医院放疗科,吉林长春130033 [3]中国深圳大学总医院神经外科深圳大学,广东深圳518000

出　　处：《现代生物医学进展》2025年第6期1113-1120,1085,共9页Progress in Modern Biomedicine

基　　金：黑龙江省政府博士后资助经费课题(LBH-Z14213);深圳市科技计划资助项目(JCYJ20210324100001004);哈医大一院临床医学教育改革工程项目重点项目(YDYYJX202203)。

摘　　要：超声辅助腰椎穿刺术相比传统定位穿刺可以直观了解触诊无法获取的解剖学信息,如黄韧带深度、腰椎间隙宽度和脊柱异常等。超声下充分评估腰椎结构及精准定位可以提高腰椎穿刺成功率,减少创伤性穿刺次数,同时能够减少操作时间,提高患者满意度。本文基于系统回顾,探讨近年来超声引导下腰椎穿刺技术在国内外的应用及进展。进一步探索实时超声引导腰椎穿刺的新方法、着重培养临床床旁超声学习及应用流程,以促进超声引导下腰椎穿刺技术的推广应用,建立该技术临床应用的诊疗规范。It reviews various aspects of the ultrasound-guided lumbar puncture technique including its development,current research status worldwide,advantages,real-time ultrasound guidance,and the applica tion scope.Ultrasound technology provides detailed anatomical insights,including measurements of the depth of the supraspinous ligament,interspinous space width,and identification of spinal anomalies that are inaccessible through manual palpation.A thorough ultrasonographic assessment of the lumbar spine structure and precise localization can enhance the success rate of lumbar puncture procedures,reduce the number of traumatic punctures,and concurrently decrease pain and operative time.It will also help young doctors overcome their lack of experience and enhance their confidence when facing complex cases.This article systematically reviews the recent worldwide applications and advancements in lumbar puncture techniques under ultrasound guidance.Future research will focus on new needle-tracking technologies,clinical training models,and application processes to enhance their role in the procedure and establish diagnostic and therapeutic guidelines for lumbar puncture.

关 键 词：超声引导 腰椎穿刺术 神经外科疾病 药物浓度检测 

分 类 号：R3[医药卫生—基础医学] R651