Identification of the biopsy track in musculoskeletal tumour surgery A NOVEL TECHNIQUE USING INDIA INK
Identification of the biopsy track in musculoskeletal tumour surgery A NOVEL TECHNIQUE USING INDIA INK
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DOI：
10.1302/0301-620x.95b2.30123
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发表时间：
2013-02-01
影响因子：
4.6
通讯作者：
Aston, W.
中科院分区：
文献类型：
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作者：
Jalgaonkar, A.;Dawson-Bowling, S. J.;Aston, W.
局部复发沿着活检轨道是一个已知的并发症经皮穿刺活检恶性肌肉骨骼肿瘤。为了完全切除肿瘤的轨道，其识别是必不可少的，但随着时间的推移，这变得越来越困难。在最初的前瞻性研究中，在3个月内确定的45名患者中有22名（48.8%）通过切除肌肉骨骼肿瘤进行治疗，在手术时有无法识别的活检部位，50天后在统计学上更难识别。因此，我们引入了用印度墨水标记活检部位的做法。在接受该手术的所有55例患者中，术前识别了活检轨迹（100%）;该差异具有统计学显著性。我们推荐这种技术作为一种安全、简单和准确的方法，以确保充分切除活检道。
Local recurrence along the biopsy track is a known complication of percutaneous needle biopsy of malignant musculoskeletal tumours. In order to completely excise the track with the tumour its identification is essential, but this becomes increasingly difficult over time. In an initial prospective study, 22 of 45 patients (48.8%) identified over a three-month period, treated by resection of a musculoskeletal tumour, had an unidentifiable biopsy site at operation, with identification statistically more difficult after 50 days. We therefore introduced the practice of marking the biopsy site with India ink. In all 55 patients undergoing this procedure, the biopsy track was identified pre-operatively (100%); this difference was statistically significant. We recommend this technique as a safe, easy and accurate means of ensuring adequate excision of the biopsy track.