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神经外科肿瘤组织取样用黏液提取器

Mucous Extractor for Tumor Tissue Sampling in Neurosurgery.

作者信息

Ruparelia Jigish, Gosal Jaskaran Singh, Garg Mayank, Jha Deepak Kumar, Kaur Manbir, Kumari Kamlesh

机构信息

Department of Neurosurgery, All India Institute of Medical Sciences (AIIMS), Jodhpur, Rajasthan, India.

Department of Anaesthesiology, All India Institute of Medical Sciences (AIIMS), Jodhpur, Rajasthan, India.

出版信息

Asian J Neurosurg. 2023 Mar 27;18(1):88-90. doi: 10.1055/s-0043-1761235. eCollection 2023 Mar.

DOI:10.1055/s-0043-1761235
PMID:37056902
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10089749/
Abstract

Collection of sample for histopathological analysis is highly important during any surgical procedure. The histopathology report helps determine the diagnosis, prognosis further management, and follow-up plan. The use of a reliable sample collection technique is doubly important in neurosurgical procedures because lesions are often deep-seated and difficult to access.  Conventional techniques of sample collection, such as use of tumor-grasping forceps and collection of material from the ultrasonic aspirator device suffer from limitations of access and unreliability. We propose a novel technique of sample collection using readily available mucous aspirator device.  This device is economical, sterile, and disposable. It can be used even in low-resource settings because it is easily available. It can also be connected to suction cannula and the negative pressure settings can be adjusted as required.  The use of this device for neurosurgical procedures has been tried in the transcranial and transnasal neurosurgical procedures and found to be effective. The sample collected in the canister of the mucous aspirator can be directly sent to the laboratory for histopathological analysis.

摘要

在任何外科手术过程中,采集样本用于组织病理学分析都非常重要。组织病理学报告有助于确定诊断、预后、进一步的治疗方案以及随访计划。在神经外科手术中,使用可靠的样本采集技术尤为重要,因为病变往往位置较深且难以触及。传统的样本采集技术,如使用肿瘤抓取钳和从超声吸引器装置收集材料,存在获取受限和不可靠的问题。我们提出一种使用现成的黏液吸引器装置进行样本采集的新技术。该装置经济、无菌且一次性使用。由于其易于获取,即使在资源匮乏的环境中也可使用。它还可以连接到吸引套管,负压设置可根据需要进行调整。该装置在经颅和经鼻神经外科手术中用于样本采集的效果已经得到验证。黏液吸引器收集罐中采集的样本可直接送往实验室进行组织病理学分析。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4698/10089749/babbfce1cf2c/10-1055-s-0043-1761235-i2290002-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4698/10089749/4affb0795d29/10-1055-s-0043-1761235-i2290002-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4698/10089749/babbfce1cf2c/10-1055-s-0043-1761235-i2290002-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4698/10089749/4affb0795d29/10-1055-s-0043-1761235-i2290002-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4698/10089749/babbfce1cf2c/10-1055-s-0043-1761235-i2290002-2.jpg

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本文引用的文献

1
Suction Pressure Control Valve for Microneurosurgery.用于显微神经外科手术的吸引压力控制阀。
Neurol India. 2020 May-Jun;68(3):652-653. doi: 10.4103/0028-3886.288977.
2
Tumour collection chamber for space-occupying lesions in neurosurgery.神经外科占位性病变用肿瘤收集室。
J Med Eng Technol. 2020 Jul;44(5):224-226. doi: 10.1080/03091902.2020.1770347. Epub 2020 Jun 18.
3
Mucous extractor: a pocket size, disposable, portable emergency suctioning device.黏液抽吸器:一种口袋大小、一次性使用、便于携带的紧急抽吸装置。
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Histological appearances of intracranial biopsies obtained using the Cavitron ultrasonic surgical aspirator.使用卡维超声手术吸引器获取的颅内活检组织的组织学表现。
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