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两种环锯脊柱骨组织活检的比较

Trephines with or without inner thread for spinal bony tissue biopsy

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[目的]探讨两种环锯在脊柱骨组织活检中的应用效果.[方法]回顾性分析2020年1月—2023年8月96例脊柱骨组织活检患者的临床资料,根据术前医患沟通结果,50例采用内螺纹环锯活检(内螺纹组),另外46例采用普通环锯活检(普通组).比较两组患者围手术期相关指标、检测结果及术后不良反应.[结果]两组活检节段、切口长度、术中出血量、活检成功率的差异均无统计学意义(P>0.05),内螺纹组手术时间[(17.0±2.8)min vs(19.5±3.0)min,P<0.001]显著少于普通组、获取组织阳性率显著高于普通组(87.8%vs 64.5%,P<0.001)、术后并发症的总发生率显著低于普通组(20.0%vs 54.4%,P<0.001).[结论]使用内螺纹环锯可明显缩短椎体活检时间,提高穿刺活检阳性率,降低术后并发症发生率.
[Objective]To compare the efficiency of trephines with or without inner thread for spinal bony tissue biopsy.[Methods]A retrospective study was conducted on 96 patients who underwent spinal bony tissue biopsy from January 2020 to August 2023.Based on pre-operative surgeon-patient discussion,50 patients had biopsy performed by trephine with inner thread(the IT group),while the remaining 46 patients were by trephine of non-IT(the non-IT group).The perioperative items,test results and postoperative adverse reactions were com-pared between the two groups.[Results]Although there were no significant differences in biopsy segment,incision length,intraoperative blood loss and biopsy success rate between the two groups(P>0.05),the IT group proved significantly superior to the non-IT group in terms of operative time[(17.0±2.8)min vs(19.5±3.0)min,P<0.00l],and the positive rate of tissue harvesting(87.8%vs 64.5%,P<0.001),in addi-tion,the former was significantly better than the latter regarding to the overall incidence of postoperative complications(20.0%vs 54.4%,P<0.001).[Conclusion]Using the trephine with inner thread does significantly shorten the spine biopsy time,increase the positive rate of punc-ture biopsy,and reduce the incidence of postoperative complications.

bony tissue biopsytrephine with inner threadtrephine without inner threadoperation timebiopsy positive rate

季文军、宋浩、司马金埕、叶盛、李进、马亚萍、张顶梅、王信

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遵义医科大学附属医院骨科,贵州遵义 563000

骨组织活检 内螺纹环锯 普通环锯 手术时间 活检阳性率

2022年贵州省科技计划厅项目

黔科合基础-ZK[2022]一般643

2024

中国矫形外科杂志
中国残疾人康复协会 中国人民解放军第八十八医院

中国矫形外科杂志

CSTPCD北大核心
影响因子:1.521
ISSN:1005-8478
年,卷(期):2024.32(17)