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CT引导下经椎弓根穿刺活检对椎体病变的诊断价值
引用本文:朱结辉,黄学全,陈伟,张恩全,张琳,蔡萍. CT引导下经椎弓根穿刺活检对椎体病变的诊断价值[J]. 医学影像学杂志, 2005, 15(1): 1-3
作者姓名:朱结辉  黄学全  陈伟  张恩全  张琳  蔡萍
作者单位:第三军医大学附属西南医院放射科,重庆,400038
摘    要:目的 :评价CT引导下经椎弓根穿刺活检对椎体病变的诊断价值。方法 :回顾性分析 17例椎体病变经椎弓根穿刺活检的病理结果 ,随访结果 ,外科手术结果及穿刺并发症。结果 :恶性病变总的穿刺成功率为 10 0 % (10 / 10 ) ,其中首次穿刺成功率为 80 % (8/ 10 ) ,第二次穿刺成功率为 10 0 % (2 / 2 ) ;良性病变穿刺成功率为 5 7 1% (4/ 7) ;所有病例均未发生严重穿刺并发症。结论 :CT引导下经椎弓根穿刺活检对椎体病变的诊断有较高的准确性 ,并发症较低 ,值得推广。

关 键 词:经椎弓根  椎体病变  活组织检查  体层摄像术  X线计算机
文章编号:1006-9011(2005)01-0001-03
修稿时间:2004-08-13

The value of CT-guided transpedicular biopsy in diagnosing vertebral body lesions
ZHU Jie hui,HUANG Xue qnan,CHENG Wei,et al.. The value of CT-guided transpedicular biopsy in diagnosing vertebral body lesions[J]. Journal of Medical Imaging, 2005, 15(1): 1-3
Authors:ZHU Jie hui  HUANG Xue qnan  CHENG Wei  et al.
Affiliation:ZHU Jie hui,HUANG Xue qnan,CHENG Wei,et al.Department of Radiology,Southwest Hospital,Third Military Medical University,Chongqing 400038,China
Abstract:Objective:To assess the value of CT guided transpedicular biopsy in patients with vertebral body lesions.Methods:17 patients with vertebral body lesions underwent CT guided transpedicular biopsy.Results:The total puncture successful rate of malignant lesions was 100%(10/10);The accuracy rate of malignant lesions by first biopsy was 80%(8/10),the accuracy rate of malignant lesions by second biopsy was 100%(2/2); The accuracy rate of benign lesions was 57.1%(4/7);No complication occurred in the group.Conclusion:CT guided transpedicular biopsy is very helpful in diagnosing vertebral body lesions with high accuracy and fewer complications,so it should be popularized.
Keywords:Transpedicular  Vertebral body  Biopsy  Tomography  X-ray computed
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