Labial gland biopsy: shared care, medicolegal and surgical considerations
Labial gland biopsy: shared care, medicolegal and surgical considerations
复制标题
唇腺活检：共同护理、法医学和手术注意事项
作者：
K. French;C. Fleming;C. Bell;K. Staines
目的为外科医生提供原发性干燥综合征、其病理生理学、诊断和治疗的概述，从而深入了解为什么需要唇腺活检。作者还旨在让手术外科医生意识到在进行唇腺活检 (LgBx) 之前要考虑的角色、责任和法医学因素。材料和方法使用搜索词“原发性干燥综合症”、“干燥综合症的诊断标准”对 PubMed (MEDLINE)、Cochrane 和 EMBASE 电子数据库进行文献检索。 “唇腺活检”、“唇腺活检并发症”、“干燥综合征的影像诊断”和“外科医生的法医责任”。审查标题和摘要以确定相关性。确定了广泛使用的指南，考虑了活检的指征和手术带来的风险。通过医学/牙科辩护联盟正式寻求法医学建议。结果作者考虑了现有证据和法医学建议，并将这些知识应用于临床环境。制定了 LgBx 之前考虑的术前检查表。 结论 唇腺活检是一种侵入性手术，有可能导致术后并发症。操作员对该程序承担最终责任。每个外科医生都致力于确保安全的手术实践，以符合患者的最佳利益。在这里，我们整合了最近的证据并提出了一份清单，以方便口腔外科医生的流程。
AimTo give the surgeon an overview of Primary Sjögren's syndrome, its pathophysiology, diagnosis and management thus giving insight into why labial gland biopsies are required. The authors also aim to make the operating surgeon aware of their role, responsibility and medicolegal factors to be considered prior to undertaking a labial gland biopsy (LgBx).Materials and methodsA literature search of PubMed (MEDLINE), Cochrane and EMBASE electronic databases using the search terms ‘Primary Sjӧgren's Syndrome’, ‘Diagnostic Criteria for Sjӧgren's Syndrome’, ‘Labial Gland Biopsy’, ‘Labial Gland Biopsy Complications’, ‘Diagnostic Imaging for Sjӧgren's Syndrome’ and ‘Medicolegal Responsibility of Surgeons’. Title and then abstract were reviewed to determine relevance. Widely used guidelines were identified, indications for biopsy and the risks posed by surgery considered. Medicolegal advice was formally sought via a medical/dental defence union.ResultsThe authors considered the available evidence and medicolegal advice and applied this knowledge to the clinical setting. A preoperative checklist for consideration prior to LgBx was developed.ConclusionsLabial gland biopsy is an invasive procedure with potential to cause post‐operative complications. The operator assumes ultimate responsibility for the procedure. Every surgeon aims to ensure safe surgical practice, in the best interest of the patient. Here, we consolidate recent evidence and propose a checklist to facilitate the process for oral surgeons.