X线监视下经皮穿刺活检胸腰椎椎体病灶145例分析

目的 探讨X线监视下经皮穿刺活检胸腰椎椎体病灶,分析其在脊柱疾患诊断中的作用与意义.方法 145例脊柱椎体病灶患者,胸椎87例,腰椎58例,其中单一椎体94例,多发椎体51例.为明确病理诊断,常规行X线监视下(C型臂或G型臂)穿刺活检,使用骨穿刺针(意大利Gallini S.R.L公司).结果 本组145例,其中141例穿刺成功,4例中途放弃或穿刺失败.穿刺用时10-45min,平均20min.穿刺标本送检后,获得明确病理学诊断130例,阳性率为89.7%.结论 X线监视下穿刺活检是胸腰椎椎体病变明确诊断的安全、有效方法.

Fluoroscopy-guided percutaneous biopsy of thoracic and lumbar spine: 145 cases review

Objective To discuss the fluoroscopy-guided percutaneous biopsy of thoracic and lumbar spine and evaluate its fianction and significance in the diagnosis and treatment of spine diseases. Methods 145 cases of spinal lesions （87 cases of thorax and 58 cases of lumbus） underwent the fluoroscopy-guided （C-ann or G-ann） percutaneous biopsy, using bone needlles （produced by Italy Gallini S.R.L. Company） for diagnosis before treatment. 94 cases were of simple centrum and 51 cases were of multiple centrum. Results Among all the 145 cases, tissue specimen were obtained in 141 cases. 4 cases gave up halfway or failed. The average time of biopsy is 20 minutes （range; 10-45 minutes）. 130 cases had definite pathological diagnosis and the positive rate of biopsy was 89.7% after sample submitting. Conclusions Fluoroscopy-guided percutaneous biopsy is a safe and effective method to make definite diagnosis of thoracic and lumbar spine lesions.