超声引导下的肩胛下肌外侧（腋下）入路肉毒毒素注射

关键词：超声  肉毒毒素  偏瘫  肩痛  痉挛

Keywords:ultrasound  botulinum toxin  hemiplegia  shoulder pain  spasm

摘要：

      摘要 目的：介绍超声引导下肩胛下肌外侧腋下入路肉毒毒素注射方法。 方法：2例上肢偏瘫肩痛并有痉挛的患者，采用超声引导下外侧腋下入路注射肉毒毒素。 结果：经注射治疗后，患者肩痛、上肢痉挛明显降低；主动和被动肩关节活动度均有提高。 结论：某些深部肌肉注射肉毒毒素具有一定技术难度和风险。由于在超声引导下，深部肌肉可视并容易注射, 注射具有安全性、有效性和经济性。

Abstract:

      Abstract Objective: To introduce the method of ultrasound-guided injection botulinum toxin by lateral (axillary) approach to subscapular muscle. Method: Two upper extremity hemiplegic patients with shoulder pain and spasticity were treated with ultrasound-guided injection of botulinum toxin by lateral (axillary) approach to subscapular muscle. Result: Pain of shoulder and spasticity of upper limb of patients were significantly reduced after injection, and range of active and passive motion of shoulder increased. Conclusion: There were a certain technical difficulties and risks in deep intramuscular injections of botulinum toxin. Under the guidance of ultrasound, the injection to some deep muscles was visible and easy. Moreover, it was safe, effective and economical.