胸骨病变CT引导下经皮穿刺活检  

CT-guided percutaneous biopsy for the sternum

作　　者：吴文泽[1] 向燕萍 谭国卫[1] 刘佩武[1] 刘四斌[1] 

机构地区：[1]华中科技大学附属荆州医院影像中心,434020 [2]湖北省荆州市沙市妇幼保健院

出　　处：《介入放射学杂志》2008年第9期660-662,共3页Journal of Interventional Radiology

摘　　要：目的评价CT引导下经皮穿刺活检在胸骨病变中的诊断价值。方法CT引导下经皮穿刺活检胸骨病变36例,局麻下操作,经病变前方进针。结果36例穿刺活检成功,35例(97.2%)获得病理诊断;1例穿刺获取组织不足病理检查所需。36例中30例有手术病理结果,29例手术结果和穿刺结果相符,1例不相符,另6例转移瘤找到原发病灶而未手术。CT引导下经皮穿刺活检胸骨病变其组织学定性的符合率为97.2%,均未见严重并发症。结论CT引导下经皮穿刺活检在胸骨病变的应用中安全可靠,并发症少,可得到明确的病理诊断,为临床制订治疗方案提供依据。Objective To evaluate the diagnostic value of CT-guided percutaneous biopsy for the sternum. Methods CT-guided percutaneous biopsy for the sternum was performed in 36 patients, under local anesthesia with frontal entry. Results Thirty six patients got successful samplings, including 35 （97.2%） with pathologic results, 1 （2.8%） having no pathologic results owing to lack of enough samples. Thirty patients with pathologic diagnosis were subsequently undergone surgery. Percutaneous biopsy results were consistent with surgery in 29 patients but not in one. Other 6 cases of metastasis were not operated because of discovering primary focci. The accuracy of CT-guided percutaneous biopsy for the sternum reached 97.2%, without serious complications. Conclusion CT-guided percutaneous biopsy for the sternum is safe and effective, with less complications, providing important informations for clinical treatment.

关 键 词：胸骨 活检 经皮穿刺 体层摄影术 X线计算机 

分 类 号：R814.42[医药卫生—影像医学与核医学]