用于孕中期羊膜腔穿刺术的传统22号和20号针头：短期结果比较
Conventional 22- and 20-gauge needle for second trimester amniocentesis: A comparison of short term outcomes.
作者信息
Köse Seyit Ali, Akkurt Mehmet Özgür, Yavuz And, Eriş Serenat, Tola Esra Nur, Özkaya Mehmet Okan, Sezik Mekin
机构信息
Süleyman Demirel University Faculty of Medicine, Department of Obstetrics and Gynecology, Isparta, Turkey.
出版信息
Turk J Obstet Gynecol. 2016 Mar;13(1):27-30. doi: 10.4274/tjod.74875. Epub 2016 Mar 10.
OBJECTIVE
To compare the short-term outcomes of two different-sized needles for genetic amniocentesis.
MATERIALS AND METHODS
A total of 271 amniocentesis were retrospectively evaluated in 2 groups concerning the size of the needles used during the procedure: Conventional 20-gauge (G) (n=164) and 22G (n=107). Periprocedural complications and cost-effectiveness were compared across the groups.
RESULTS
There were no differences between groups concerning complications within 15 days after the procedure (fetal loss, 0.6% versus 0.9%, and amniotic fluid leak 1.2% versus 1.8%, p=0.99 for each). The 22G needle was significantly more cost efficient (p<0.0001).
CONCLUSION
The 22 G spinal needle is convenient for second trimester amniocentesis with similar complication rate and has a favorable cost profile.
目的
比较两种不同尺寸针头用于遗传羊膜腔穿刺术的短期结果。
材料与方法
回顾性评估了271例羊膜腔穿刺术，根据手术过程中使用的针头尺寸分为两组：传统的20号（G）（n = 164）和22G（n = 107）。比较两组围手术期并发症和成本效益。
结果
术后15天内两组并发症无差异（胎儿丢失率，0.6%对0.9%，羊水渗漏率1.2%对1.8%，每项p = 0.99）。22G针头的成本效益显著更高（p < 0.0001）。
结论
22G脊椎穿刺针用于孕中期羊膜腔穿刺术方便，并发症发生率相似，且成本效益良好。
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