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。
[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 preoperative 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 compared 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<0.001],and the positive rate of tissue harvesting(87.8%vs 64.5%,P<0.001),in addition,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 puncture biopsy,and reduce the incidence of postoperative complications.
作者
季文军
宋浩
司马金埕
叶盛
李进
马亚萍
张顶梅
王信
JI Wen-jun;SONG Hao;SIMA Jin-cheng;YE Sheng;LI Jin;MA Ya-ping;ZHANG Ding-mei;WANG Xin(Department of Orthopedics,Affiliated Hospital,Zunyi Medical University,Zunyi 563000,China)
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2024年第17期1618-1621,共4页
Orthopedic Journal of China
基金
2022年贵州省科技计划厅项目(编号:黔科合基础-ZK[2022]一般643)。
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
bony tissue biopsy
trephine with inner thread
trephine without inner thread
operation time
biopsy positive rate
作者简介
季文军,副主任医师,研究方向:脊柱退变疾病、脊柱肿瘤,(电子信箱)jwj19761006@163.com;通信作者:王信,(电子信箱)xin.wang@zmu.edu.cn。
