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使用骨髓活检针在影像引导下经皮取出肌内缝针：1例报告

Image-guided Percutaneous Removal of an Intramuscular Sewing Needle Using Bone Marrow Biopsy Needle: A Case Report.

作者信息

Sugiura Takumi, Ogawa Nobuhiko, Ikeno Hiroshi, Yamamoto Toru, Yoshikawa Jun

机构信息

Department of Radiology, Fukui Prefectural Hospital, Japan.

出版信息

Interv Radiol (Higashimatsuyama). 2024 Aug 7;10:e20230036. doi: 10.22575/interventionalradiology.2023-0036. eCollection 2025 Mar 28.

DOI:10.22575/interventionalradiology.2023-0036
PMID:40384897
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12078020/
Abstract

A woman in her 40s was found to have a sewing needle within the right lumbar erector spinae muscle on imaging. The needle tip nearly reached the first lumbar vertebra and was close to the intervertebral foramen. An 8-gauge bone marrow biopsy needle was advanced under local anesthesia and biplane fluoroscopic guidance. The inner needle was withdrawn, while the outer needle was gently advanced to capture the proximal end of the sewing needle. The sewing needle was successfully grasped and removed using the endoscopic biopsy forceps. She was discharged without symptoms. Under biplane fluoroscopy guidance, percutaneous coaxial removal of the intramuscular sewing needle was successfully performed minimally invasively and at a low cost using an 8-gauge bone marrow biopsy needle and endoscopic forceps.

摘要

一名40多岁的女性在影像学检查中发现右腰大肌内有一根缝纫针。针尖几乎到达第一腰椎，靠近椎间孔。在局部麻醉和双平面荧光透视引导下推进一根8号骨髓活检针。拔出内针，同时轻轻推进外针以夹住缝纫针的近端。使用内镜活检钳成功抓住并取出了缝纫针。她无症状出院。在双平面荧光透视引导下，使用8号骨髓活检针和内镜钳以微创且低成本的方式成功进行了经皮同轴取出肌肉内缝纫针的操作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38ad/12078020/c53b4e137c09/2432-0935-10-e2023-0036-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38ad/12078020/db443cc5d65a/2432-0935-10-e2023-0036-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38ad/12078020/7a603cba45f7/2432-0935-10-e2023-0036-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38ad/12078020/57ab80ded68b/2432-0935-10-e2023-0036-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38ad/12078020/4e6048174d9d/2432-0935-10-e2023-0036-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38ad/12078020/63a4d43a566d/2432-0935-10-e2023-0036-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38ad/12078020/6d1a3ef11c59/2432-0935-10-e2023-0036-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38ad/12078020/c53b4e137c09/2432-0935-10-e2023-0036-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38ad/12078020/db443cc5d65a/2432-0935-10-e2023-0036-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38ad/12078020/7a603cba45f7/2432-0935-10-e2023-0036-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38ad/12078020/57ab80ded68b/2432-0935-10-e2023-0036-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38ad/12078020/4e6048174d9d/2432-0935-10-e2023-0036-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38ad/12078020/63a4d43a566d/2432-0935-10-e2023-0036-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38ad/12078020/6d1a3ef11c59/2432-0935-10-e2023-0036-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38ad/12078020/c53b4e137c09/2432-0935-10-e2023-0036-g007.jpg

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本文引用的文献

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Cardiovasc Intervent Radiol. 2016 Jul;39(7):1050-6. doi: 10.1007/s00270-016-1302-9. Epub 2016 Feb 16.
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Needle-in-Needle Technique for Percutaneous Retrieval of a Fractured Biopsy Needle during CT-Guided Biopsy of the Thoracic Spine.经皮针中针技术用于在胸椎CT引导活检期间取出断裂的活检针。
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