在手腕张切除术中常规组织病理学和培养分析的实用性
Andrew Straszewski1, Stockton Troyer1, Martin I Boyer1
1Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, MO.
The Journal of hand surgery
|January 19, 2026
概括
经过膜切除术后的常规组织病理学和培养很少改变患者的护理,特别是在炎症条件下. 这些分析往往是不必要的,节省了资源,避免了手术患者不必要的干预.
科学领域:
- 整形外科手术 整形外科手术
- 手术手术手术手术手术
- 病理学 病理学 病理学
背景情况:
- 手术中的常规诊断实践需要持续评估临床效用.
- 或延伸肌的延伸肌切除手术在手术中很常见.
- 在这些情况下,例行病原体和培养分析的价值尚未得到充分证实.
研究的目的:
- 为了评估常规组织病理学和培养分析的临床影响,在接受 flexor 或延伸肌延伸切除术的患者中.
- 确定这些常规诊断测试是否会改变患者的管理或治疗过程.
主要方法:
- 从2018年到2023年,对57名患者进行了延切除术的回顾性审查.
- 对人口统计,病史和手术细节的分析.
- 根据组织病理学和培养结果评估患者护理的变化.
主要成果:
- 已知炎症状况的20名患者的组织病理学没有改变护理.
- 在37名没有已知的炎症状况的患者中,一个人被诊断为基于病理学的类风湿性关节炎.
- 怀疑感染的患者中有74%的培养物呈阳性,但只有一个没有怀疑感染的患者 (Mycobacterium marinum) 呈阳性培养物,改变了护理.
结论:
- 在患有已知的炎症病症的患者中,常规组织病理学分析的tenosynovium是不有益的.
- 组织病理学和培养很少改变在没有疑似感染或已知的炎症状况的患者的护理.
- 对于特定的患者群体,可能有必要停止常规组织病理学,同时应继续选择性地使用培养物.
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