CT引导经皮脊柱活检器械研究和临床应用  

Design and clinical application of the instrument for percutaneous C-T guided spinal biopsy

作　　者：张功林[1] 葛宝丰[1] 李康印[1] 陈虎义[1] 张军华[1] 张宝峰[2] 刘太云 

机构地区：[1]兰州军区总医院,甘肃兰州730050 [2]天水市第一人民医院 [3]白银市第二人民医院

出　　处：《中国骨伤》2001年第5期259-260,共2页China Journal of Orthopaedics and Traumatology

摘　　要：目的　报告CT引导经皮脊柱活检器械的构造和临床应用结果。方法　采用自行研制的由套管、套管芯、环锯、环锯芯和活检钳五部分组成的器械 ,对 38例病人进行了CT引导经皮脊柱活检并分析了活检标本 ,其中 ,颈椎 2例 ,胸椎 9例 ,腰椎 2 2例 ,骶椎 5例。结果　病理检查表明 :脊柱原发性肿瘤 12例 ,转移性肿瘤 2 6例。随访 4～ 6个月 ,未发现与经皮CT引导脊柱活检操作有关的并发症 ,诊断准确率为 10 0 % ,获得了满意的效果。结论　CT引导经皮脊柱活检术是诊断脊柱病损的重要手段 ,是一种安全。Objective To describe the structure of self designed instrument for C T guided percutaneous spinal biopsy and its clinical application.[HT5”H]Methods [HT5”SS]The instrument is composed of five parts:trocar,core of trocar,trephine,core of trephine and biopsy pincer.The spinal biopsy specimens were procured in 38 cases by means of this instrument:2 were from cervical,9 from the thoracic,22 from the lumbar and sacral vertebrae.[HT5”H]Results [HT5”SS]Pathological examination showed primary tumour of spinal column in 12 cases and metastatic tumour in 26 cases.After a period follow up of 4～6 months,no complications related to the biopsy procedure occurred.The accurate rate of diagnosis was 100%.[HT5”H]Conclusion [HT5”SS]This method for spinal biopsy is of importance for the diagnosis of spinal disease and it is safe,accurate and of minor trauma.

关 键 词：仪器 器械 体层摄影术 X线计算机 脊椎肿瘤 脊柱活检器械 

分 类 号：R446.8[医药卫生—诊断学]