X线透视引导下应用三维定位器行软组织内异物取出术的疗效分析  

Application 3D-locator to remove residual metallic foreign body in the soft tissue under the guidance of the X-ray

作　　者：钱鹤翔 郇金亮[1] 邢光富 史常文 秦贤举[1] 

机构地区：[1]上海市第八人民医院外科,200235

出　　处：《中国综合临床》2012年第6期646-648,共3页Clinical Medicine of China

摘　　要：目的探讨软组织内异物的治疗方法。方法软组织内异物患者742例，均为外院手术失败来我院就诊者。均在C臂X线机透视引导下采用异物定位器定位经皮异物钳取出异物。结果异物包括铁屑、断针、铁钉、钢丝等。位于颈部、胸腹部、盆部、四肢等软组织内。异物取出率100％。无出血、感染、神经损伤等并发症。平均手术时间5min。结论异物三维定位器和特制异物钳在X线透视引导下经皮异物钳取出术微创、安全、有效。Objective To summarize clinical experience in removal of residual metallic foreign body in the soft tissue. Methods Clinical data of 742 cases with residual metallic foreign body in the soft tissue were analyzed. All the patients were forward from other hospitals with failed removal of the foreign body. Second surgery was performed in our hospital by grasping forceps using 3D-locator under the guidance of the C-shaped arm X-ray machine. Results Foreign body, such as scrap-iron, broken needle, nails, wine and so on located at different regions of soft tissues including neck, chest and abdomen, pelvis, and the four limbs were all successfully taken out. Removal rate of the foreign body was 100%. No complications such as bleeding,infection and nerve damage was occurred. The mean time of the procedures and radiation exposure for the removal surgery was 5 minutes. Conclusion Using 3D-locator and grasping forceps under the guidance of the X-ray, the residual metallic foreign bodies can be removed safely and efficiently.

关 键 词：软组织内异物 X线透视 三维定位器 

分 类 号：R649.4[医药卫生—外科学]