Etchebehere M, Etchebehere E C S C, Reganin L A, Amstalden E M I, Cliquet A, Camargo E E
Department of Orthopedics and Traumatology, School of Medical Sciences, Campinas State University (UNICAMP), Av. Vital Brasil, 251-Cidade Universitaria Zeferino Vaz, Campinas, CEP 13083-970, SP, Brazil.
Int Orthop. 2004 Dec;28(6):379-83. doi: 10.1007/s00264-004-0588-4. Epub 2004 Nov 6.
The purpose of this study was to evaluate whether intraoperative nidus detection with a hand-held gamma probe was efficient enough for use as a routine procedure. Thirty-seven patients with osteoid-osteomas were submitted to surgical treatment. The first group consisted of 19 patients submitted to open nidus resection using a hand-held gamma probe as guide. The control group consisted of 18 patients operated on by conventional technique. The procedures were classified as successful if nidus resection could be confirmed by histology or postoperative imaging studies. Patients in the gamma group were followed for a mean of 13 months; patients in the control group for a mean of 39 months. In the gamma group, 17/19 procedures were successful; in the control group, only 12/18 procedures were successful. The gamma probe helped to locate the osteoid-osteoma nidus, and the same probe could be used in various hospitals.
本研究的目的是评估术中使用手持式γ探头检测瘤巢是否足以有效用作常规程序。37例骨样骨瘤患者接受了手术治疗。第一组由19例患者组成,他们使用手持式γ探头作为引导进行开放性瘤巢切除术。对照组由18例采用传统技术手术的患者组成。如果通过组织学或术后影像学研究能够确认瘤巢切除,则将手术分类为成功。γ组患者平均随访13个月;对照组患者平均随访39个月。在γ组中,19例手术中有17例成功;在对照组中,18例手术中只有12例成功。γ探头有助于定位骨样骨瘤瘤巢,并且同一探头可在不同医院使用。