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首页> 外文期刊>Oral surgery >A 9-year retrospective analysis of 418 consecutive temporal artery biopsies (TAB): a surgical perspective of patients treated in a UK district general hospital referral service
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A 9-year retrospective analysis of 418 consecutive temporal artery biopsies (TAB): a surgical perspective of patients treated in a UK district general hospital referral service

机译：对 418 例连续颞动脉活检 （TAB） 的 9 年回顾性分析：在英国地区综合医院转诊服务中接受治疗的患者的外科视角

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Aim: Temporal artery biopsy (TAB) is a gold standard investigation in the diagnosis of giant cell arteritis (GCA). We explored the relationship of the specimen length and biopsy results before and after the establishment of Fife GCA referral protocols in 2010. Materials and Methods: A retrospective review of TAB carried out between the year 2005-2013 was carried out. The biopsy results were analysed for length of the specimen and diagnostic outcome. Results: A total of 418 biopsies were performed from 2005 to 2013 inclusive. Four hundred and nine biopsies were eligible for study and nine specimen were excluded as they were non-arterial. Seventy-three biopsies (17.8) were reported positive. Average length of specimen in our study was 13.15 mm. Mean specimen length of positive cases was less than that for negative cases (difference in means = -3.7, 95 confidence interval -4.9 to -2.6 mm, P < 0.001). There is evidence that the mean length of the sample increased after the introduction of the guidelines in 2010 and did not affect the percentage of positive results (r= -0.18, P = 0.64).
机译：目的：颞动脉活检 （TAB） 是诊断巨细胞动脉炎 （GCA） 的金标准检查。我们探讨了 2010 年建立 Fife GCA 转诊方案前后标本长度与活检结果的关系。材料和方法：对2005-2013年期间进行的TAB进行了回顾性审查。分析活检结果的标本长度和诊断结果。结果：2005年至2013年共进行了418例活检。409 例活检符合研究条件，9 例标本因非动脉而被排除在外。73例活检（17.8%）报告阳性。我们研究中标本的平均长度为 13.15 mm。阳性病例的平均标本长度小于阴性病例（均值差异=-3.7,95%置信区间-4.9至-2.6 mm，P<0.001）。有证据表明，在2010年引入指南后，样本的平均长度有所增加，并且不影响阳性结果的百分比（r=-0.18，P=0.64）。

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