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CT-guided percutaneous biopsy of musculoskeletal lesions
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF RADIOLOGY
- Issue:
- 2
- DOI:
- 10.3760/j.issn:1005-1201.2007.02.024
- Key Word:
- 肌肉骨骼系统;活组织检查,针吸;体层摄影术,X线计算机
Abstract： 目的 探讨CT导引下经皮穿刺活检在肌肉骨骼病变诊断的价值,评估激光导引装置在肌肉骨骼病变CT穿刺活检中的作用.方法 165例CT引导下肌肉骨骼穿刺活检病例(其中36例使用Pinpoint激光引导系统),骨骼穿刺活检142例,软组织穿刺活检23例.149例有手术病理、切开活检病理或临床随访资料.结果 165例肌肉骨骼病变的穿刺活检总正确率为75.2%(124/165).其中骨骼病变穿刺活检的正确率为73.2%(104/142),肌肉软组织病变穿刺活检的正确率为87.0%(20/23).Pinpoint激光导引下CT穿刺活检的诊断正确率为80.6%(29/36).使用骨钻针穿刺诊断正确率73.8%(96/130),使用抽吸针穿刺诊断正确率80.0%(28/35).大病灶(直径＞3 cm)穿刺活检诊断正确率80.6%(79/98),小病灶(直径≤3 cm)穿刺活检诊断正确率67.2%(45/67),二者之间差异有统计学意义(P＜0.05).结论 CT导引下经皮骨骼肌肉活检是一种安全、简便、有效的诊断和鉴别诊断方法.对大病灶的诊断正确率优于较小病灶,在小病灶中,使用Pinpoint激光导引装置有助于提高诊断正确率.
- [1]袁慧书,李选,刘晓光,等.CT引导下颈椎病变经皮穿刺活检路径分析[J].2002,(4).
- [2]丁晓毅,陆勇,吴达明,等.CT引导下经皮穿刺活检在肌骨病变中的诊断价值[J].2003,(4).
- [3]Ghelman B.Biopsies of the musculoskeletal system.[J].1998,36(3).
- [4]Logan PM,Connell DG,O'Connell JX,etc.Image-guided percutaneous biopsy of musculoskeletal tumors: an algorithm for selection of specific biopsy techniques.[J].1996,166(1).
- [5]J S, Jelinek,M J, Kransdorf,R, Gray,etc.Percutaneous transpedicular biopsy of vertebral body lesions.[J].1996,21.
- [6]Long BW.Image-guided percutaneous needle biopsy: an overview.[J].2000,71(4).
- [7]J D, Laredo,L, Bellaiche,B, Hamze,etc.Current status of musculoskeletal interventional radiology.[J].1994,32.
- [8]张雪哲,卢延.CT介入放射学[M].1900.
- [9]Kattapuram S V,Rosenthal D I.Percutaneous biopsy of skeletal lesions.[J].1991.
- [10]张雪哲,古晓泉.CT导引下肌肉骨胳活检[J].1994,(1).
- [11]Leffler,SG,Chew,FS.CT-guided percutaneous biopsy of sclerotic bone lesions: diagnostic yield and accuracy.[J].1999,172(5).
- [12]张雪哲,王武,黄振国,等.CT PINPOINT系统导引在肌肉骨骼穿刺活检的应用[J].2001,(23).
- [13]Hodge JC.Percutaneous biopsy of the musculoskeletal system: a review of 77 cases.[J].1999,50(2).
- [14]S V, Kattapuram,J S, Khurana,D I, Rosenthal.Percutaneous needle biopsy of the spine.[J].1992,17.
- [15]Gasser B,Guth S,Siffert P,etc.Interventional radiology with laser in bone and joint.[J].1998,36(3).
- [16]White L M,Schweitzer M E,Deely D M.Coaxial percutaneous needle biopsy of osteolytic lesions with intact cortical bone.[J].1996.
- [17]Pereles, F. S.,Ozgur, H. T.,Lund, P. J.,etc.Potentials of laser guidance system for percutaneous musculoskeletal procedures[J].1997,26(11).
- [18]D R, Stringham,A, Hadjipavlou,R B, Dzioba,etc.Percutaneous transpedicular biopsy of the spine.[J].1994,19.
- [19]Hornicek FJ,Mankin HJ,Rosenberg AE,etc.Accuracy of CT-guided biopsies in 359 patients with musculoskeletal lesions.[J].2002,31(6).
- [20]Fischgrund JS,Kornblum MB,Wesolowski DP,etc.Computed tomography-guided biopsy of the spine. A review of 103 patients.[J].1998,23(1).
- [21]Dupuy Damian E.,Rosenberg Andrew E.,Punyaratabandhu Thipachart,etc.Accuracy of CT-Guided Needle Biopsy of Musculoskeletal Neoplasms[J].1998.
- [22]D L, Renfrew,C G, Whitten,J A, Wiese,etc.CT-guided percutaneous transpedicular biopsy of the spine.[J].1991,180.
- [23]Eckardt JJ,Eilber FR,Yao L,etc.Primary musculoskeletal neoplasms: effectiveness of core-needle biopsy.[J].1999,212(3).