脊柱病变CT定位穿刺活检的价值探讨  

Value of Percutaneous Biopsy CT-guided in Spine Lesions

作　　者：陈兴灿[1] 俞一曼[1] 项林爱[1] 潘建虎[1] 缪建良[1] 李晓红[1] 

机构地区：[1]解放军117医院放射科,浙江杭州310013

出　　处：《实用放射学杂志》2005年第12期1292-1294,共3页Journal of Practical Radiology

摘　　要：目的评价脊柱病变CT定位穿刺活检的临床应用价值。方法53例被影像学检查为脊柱病变者采用自制CT定位器,在CT引导下行骨穿刺活检及病理诊断,用包括手术标本病理学诊断及临床随访结果的最后临床诊断证实骨穿刺活检病理诊断的正确性。结果脊柱病变CT定位穿刺活检病理诊断的正确率为85%,无并发症,误诊的原因主要是取材不当。结论理想的骨穿刺活检针是成功进行脊柱病变穿刺活检的关键,要正确处理好影像学诊断与穿刺活检之间的关系。Objective To evaluate the clinical application of percutaneous biopsy CT- guided in spine lesions. Methods CT- guided percutaneous biopsy in spine lesions was performed in 53 cases,the final diagnosis was confirmed by operation or following - up. Results The accurate rate was 85 percent for CT - guided percutaneous biopsy in spine lesions without complication. The reason of misdiagnosis was mainly that the biopsied lesions was incorrect. Conclusion The perfect percutaneous needle is the successful key for biopsy in spine lesions, we should coordinate the relationship between imaging diagnosis and percutaneous bone biopsy.

关 键 词：脊柱 定位 活组织检查 体层摄影术 X线计算机 

分 类 号：R681.5[医药卫生—骨科学] R814.42[医药卫生—外科学]