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
季文军 1宋浩 1司马金埕 1叶盛 1李进 1马亚萍 1张顶梅 1王信1
作者信息
- 1. 遵义医科大学附属医院骨科,贵州遵义 563000
- 折叠
摘要
[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.
Abstract
[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.
关键词
骨组织活检/内螺纹环锯/普通环锯/手术时间/活检阳性率Key words
bony tissue biopsy/trephine with inner thread/trephine without inner thread/operation time/biopsy positive rate引用本文复制引用
基金项目
2022年贵州省科技计划厅项目(黔科合基础-ZK[2022]一般643)
出版年
2024
NETL
NSTL
万方数据