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立体定向活检术在颅内无强化效应病变中的诊断价值
引用本文:杨春春,魏祥品,牛朝诗,傅先明,钱若兵,汪业汉.立体定向活检术在颅内无强化效应病变中的诊断价值[J].中国微侵袭神经外科杂志,2011,16(11):496-498.
作者姓名:杨春春  魏祥品  牛朝诗  傅先明  钱若兵  汪业汉
作者单位:安徽医科大学附属省立医院神经外科,合肥,230001
摘    要:目的 探讨立体定向活检术在颅内无强化效应病变中的定性诊断价值.方法 对47例在MRI增强扫描中未见明显强化的颅内病变行立体定向活检,其中MRI引导有框架立体定向活检38例,无框架神经导航定向活检9例.结果 获得明确病理诊断42例,未获得阳性病理结果5例,活检病理诊断阳性率89.4%.对颅内非肿瘤性病变,MRI诊断与病理诊断相符合9例;对肿瘤性病变,MRI诊断与病理诊断相符合14例;MRI诊断与病理诊断的符合率为48.9%.活检术后穿刺道少量出血1例,无颅内感染和死亡病例.结论 对颅内无强化效应的病变,立体定向活检是获得定性诊断安全、可靠的方法.

关 键 词:脑疾病  活组织检查  立体定位技术  磁共振成像

Diagnostic value of stereotactic biopsy in intracranial lesions without enhancement effect
Yang Chunchum,Wei Xiangpin,Niu Chaoshi,Fu Xianming,Qian Ruobing,Wang Yehan.Diagnostic value of stereotactic biopsy in intracranial lesions without enhancement effect[J].Chinese Journal of Minimally Invasive Neurosurgery,2011,16(11):496-498.
Authors:Yang Chunchum  Wei Xiangpin  Niu Chaoshi  Fu Xianming  Qian Ruobing  Wang Yehan
Institution:Yang Chunchun,Wei Xiangpin,Niu Chaoshi,Fu Xianming,Qian Ruobing,Wang Yehan Department of Neurosurgery,Anhui Provincial Hospital,Anhui Medical University,Hefei,Anhui 230001,China
Abstract:Objective To investigate the value for qualitative diagnosis of stereotactic biopsy for the intracranial lesions without enhancement effect.Methods Stereotactic biopsy was performed in 47 patients with intracranial lesions without enhancement effect by enhanced MRI scan,including frame-based MRI-guided stereotactic biopsy in 38 cases and frameless neuronavigation stereotactic biopsy in 9.Results Forty-two patients had definitive pathological diagnosis and 5 patients had no definite pathological diagnosis,an...
Keywords:brain diseases  biopsy  stereotaxic techniques  magnetic resonance imaging  
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