CT导引下骶骨病变穿刺活检  

CT-guided percutaneous biopsy of sacral lesions

作　　者：李永利[1] 

机构地区：[1]河北金能邢台矿业集团公司总医院影像中心,054000

出　　处：《介入放射学杂志》2009年第3期209-211,共3页Journal of Interventional Radiology

摘　　要：目的探讨CT导引下对骶骨病变穿刺活检技术和应用价值。方法在CT导引下对21例骶骨病变联合使用Ackermann骨钻针、切割式活检针和抽吸式活检针采集骨性标本和非骨性标本。结果穿刺成功率100%,除1例标本为含坏死组织和凝血块外,其余均获得病理结果,病理活检成功率95.2%。结论CT导引下穿刺活检是对骶骨病变作出正确诊断的可靠方法,操作简便、安全,并发症少,为术前诊断提供重要的参考依据。正确合理使用操作方法可以提高穿刺的成功率和缩短穿刺时间。Objective To improve both the technique and the clinical application of CT-guided percutaneous aspiration biopsy for sacral lesions. Methods CT-guided percutaneous aspiration biopsy was performed in 21 patients with sacral lesions. By using Ackerman drilling needle, trigger type biopsy needle or Chiba needle, both bony and non-bony specimens were collected. Results The procedure was successfully done in all patients and the pathologic diagnosis was obtained in 95.2%. Failure occurred in one case as only necrotic tissue and blood clot were collected in biopsy. Conclusion As a simple, safe and reliable technique, CT-guided percutaneous aspiration biopsy is very helpful in making correct preoperative diagnosis, providing important preoperative reference for the surgeons.

关 键 词：CT导引 骶骨病变 穿刺活检 

分 类 号：R681.5[医药卫生—骨科学]