X线导向经皮骨穿刺活检  

X - ray guided percutaneous needle biopsy of bone

作　　者：王宏德[1] 施的美[1] 

机构地区：[1]江苏省肿瘤防治研究所/肿瘤医,南京市210009

出　　处：《实用医学影像杂志》1998年第4期42-43,46,共3页Journal of Practical Medical Imaging

摘　　要：目的:探讨X线导向经皮骨穿刺活检对骨病的诊断价值。材料和方法:骨穿刺活检79例,通过观察X线片及CT确定活检的最佳部位。在X线导向下进行多点和不同浓度的骨穿刺活检取材。结果:79例行骨穿刺活检82次,其中3例穿刺2次。76例穿刺活检结果能作出诊断,阳性率为96.2％。没有发生并发症。结论:本法的优点是适应症广、简单、安全、快速、可靠、经济,并发症少及缩短诊断时间。医生在穿刺活检过程中不受X线辐射,而病人只有短暂的透视定位。Purpose: To evaluate the diagnostic value of X - ray guided percutaneous needle biopsy of bone in bone lesions. Materials and Methods: A total of 79 patients were subjected to needle biopsy of bone. Radiographs and CT scans were reviewed to determine optimal site for biopsy. The specimens from different depths and multi - point had been obtained by needle biopsy of bone under fluoroscopic guidence. Results: 82 needle biopsies of bone were performed in 79 patients, since three patients underwent twice examinations. Diagnosis was made by needle biopsy result in 76 patients and the positive rate was 96. 2%. No complications were encountered. Conclusion: The advantages of this methods include extensive indication, simplicity, safety, rapidity, reliability, economy, few complications and shortening the diagnostic interval. Doctor during of needle biopsy was not radiated by X - ray , however patient was only performed fluoroscopic localizing of short duration.

关 键 词：骨病 穿刺活检 X线导向 

分 类 号：R8[医药卫生—临床医学] R4