Abstract
The purpose of this study was to evaluate whether intraoperative nidus detection with a hand-held gamma probe was efficient enough for use as a routine procedure. Thirty-seven patients with osteoid-osteomas were submitted to surgical treatment. The first group consisted of 19 patients submitted to open nidus resection using a hand-held gamma probe as guide. The control group consisted of 18 patients operated on by conventional technique. The procedures were classified as successful if nidus resection could be confirmed by histology or postoperative imaging studies. Patients in the gamma group were followed for a mean of 13 months; patients in the control group for a mean of 39 months. In the gamma group, 17/19 procedures were successful; in the control group, only 12/18 procedures were successful. The gamma probe helped to locate the osteoid-osteoma nidus, and the same probe could be used in various hospitals.
Résumé
Le but de cette étude était d’évaluer si la découverte intra-opératoire du nidus par sonde gamma était assez effective pour l’envisager comme une procédure habituelle. Trente-sept malades avec un ostéome ostéoïde ont eu un traitement chirurgical. Le premier groupe a consisté en 19 malades traités par résection du nidus guidée par la sonde manuelle. Le groupe témoin a consisté en 18 malades opérés sur par la technique conventionnelle. Les procédures étaient classées comme efficaces si la résection du nidus pouvait être confirmée par l’histologie ou l’étude postopératoire des images. Les malades dans le groupe gamma ont été suivis avec une moyenne de 13 mois, malades dans le groupe témoin avec une moyenne de 39 mois. Dans le groupe Gamma 17/19 procédures étaient éfficaces, dans le groupe témoin seulement 12/18 l’étaient. La sonde gamma aide à localiser le nidus de l’ostéome ostéoïde et la même sonde pourraient être utilisée dans les plusieurs hôpitaux.
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Footnotes
Statement on conflict of interest: no benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.
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