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

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)

机构地区：[1]遵义医科大学附属医院骨科,贵州遵义563000

出　　处：《中国矫形外科杂志》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)。

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.

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 

分 类 号：R687[医药卫生—骨科学]