CAJ | 학술논문

目的探讨儿童软组织内微小金属异物的取出方法.方法回顾性分析41例软组织内金属异物病例.根据取出方式不同分为A、B两组.A组:26例,C形臂下定位,直接切开取异物.B组:15例,采用C形臂下7号注射器针垂直定位,侧位调节针的深度,亚甲蓝标记,手术取出.比较两组取出成功率,手术时间,切口长度,C形臂照射次数.结果 A组:1例由于异物体积太小,未能取出,手术成功率96％.手术时间平均约53 min.C形臂照射次数平均13次；手术切口平均长约4.2 cm.B组:手术成功率100％,手术时间平均约23 min.C形臂照射次数平均4.2次,手术切口平均长约3.1 cm.结论采用术中C形臂定位,亚甲蓝标记取出微小金属异物,切口小,手术时间短,辐射量小,成功率高.是取出软组织内微小金属异物最有效的方法之一.
목적 탐토인동연조직내미소금속이물적취출방법.방법 회고성분석41례연조직내금속이물병례.근거취출방식불동분위A、B량조.A조:26례,C형비하정위,직접절개취이물.B조:15례,채용C형비하7호주사기침수직정위,측위조절침적심도,아갑람표기,수술취출.비교량조취출성공솔,수술시간,절구장도,C형비조사차수.결과 A조:1례유우이물체적태소,미능취출,수술성공솔96％.수술시간평균약53 min.C형비조사차수평균13차；수술절구평균장약4.2 cm.B조:수술성공솔100％,수술시간평균약23 min.C형비조사차수평균4.2차,수술절구평균장약3.1 cm.결론 채용술중C형비정위,아갑람표기취출미소금속이물,절구소,수술시간단,복사량소,성공솔고.시취출연조직내미소금속이물최유효적방법지일.
Objective To investigate the methods of removal of the tiny foreign metal in soft tissue in children.Methods Retrospective analysis of 41 cases.Two groups of A&B were divided according to the way of taking out of metals.In group A of 26 cases,localization by C-arm,removal of metals was done directly.In group B of 15 cases,syringe needle was used to orientate the foreign metals vertically and laterally under C arm.The foreign body was marked by methylene blue first,and then removed by surgery.The rate of success of removal in the two groups,the timing of the operation,incision length,frequency of C arm illumination were comapred.Results Group A: 1 case had failure to remove because foreign metal was too small (success rate was 96％).The average operation time was 53 minutes.The average C arm illumination time was 13 rmins.The average incision length was about 4.2 cmn.Group B: surgical success rate was 100％,The average operation time was 23 minutes.The average C-arm time was 5.2 mins,the average incision length was 3.1 cm.Conclusions Higher success rate was seen using methylene blue marking,resulting with small incision,and short operative time.