[1]袁慧书,刘晓光①,李选.骨骼肌肉系统病变CT监视下穿刺活检相关技术问题的探讨——穿刺针的选择[J].中国微创外科杂志,2007,07(3):285-288.
　Yuan Huishu*,Liu Xiaoguang,Li Xuan*..Technical problems about CTguided percutaneous biopsy in musculoskeletal system diseases: Selection of needles[J].Chinese Journal of Minimally Invasive Surgery,2007,07(3):285-288.
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骨骼肌肉系统病变CT监视下穿刺活检相关技术问题的探讨——穿刺针的选择()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
07
期数:
2007年3期
页码:
285-288
栏目:
出版日期:
2007-03-20

文章信息/Info

Title:
Technical problems about CTguided percutaneous biopsy in musculoskeletal system diseases: Selection of needles
作者:
袁慧书; 刘晓光①; 李选
北京大学第三医院放射科，北京100083
Author(s):
Yuan Huishu*;  Liu Xiaoguang;  Li Xuan*.
*Department of Radiology, Peking University Third Hospital, Beijing 100083, China
关键词:
活组织检查; 骨骼肌肉系统病变; 肿瘤; 穿刺针
Keywords:
Biopsy; Musculoskeletal system disease; Neoplasm; Needle aspiration
分类号:
R68；R445.3;R446.8
文献标志码:
A
摘要:
目的探讨骨骼肌肉系统病变CT监视下穿刺活检所用穿刺针的选择。方法1996年1月~2005年3月对364例诊断不明的骨骼肌肉系统病变根据CT所示病变的不同性质及部位选择适宜的穿刺针（骨活检针、软组织活检枪或2种穿刺针联合应用）， CT监视下穿刺取材。结果255例溶骨性病变，47例采用软组织活检枪直接穿刺取材，208例采用2种穿刺针（骨活检针和软组织活检枪）联合应用。73例混合性病变，49例采用骨活检针取材，14例采用软组织活检枪取材，10例采用联合用针取材。36例成骨性病变全部采用骨活检针取材。364例穿刺成功获足够标本，无并发症发生。334例穿刺病理诊断正确，穿刺结果诊断正确率为91.8％（334/364）。结论骨骼肌肉系统病变CT监视下穿刺活检中，穿刺针要根据CT所示病变的位置及性质不同选择，成骨性病变或病变中骨性成分多时用骨活检针，溶骨性病变采用软组织活检枪，若溶骨性病变位于骨质深部，则采用2种穿刺针联合应用。
Abstract:
ObjectiveTo analyze the selection of puncture needles in CTguided percutaneous biopsy in musculoskeletal system diseases.MethodsThree hundred and sixtyfour undiagnosed lesions of musculoskeletal system underwent CTguided percutaneous biopsy from January 1996 to March 2005. Proper selection of different puncture needles, including biopsy gun, bone biopsy needle, or both, was made according to different locations and characteristics of the lesions.ResultsAmong 255 lytic lesions, the biopsy gun alone was used in 47 cases and both biopsy gun and bone biopsy needle were used in 208 cases. Among 73 mixed lesions, the bone biopsy needle alone was used in 49 cases, biopsy gun alone in 14 cases, and both in 10 cases. The bone biopsy needle was used in all 36 sclerotic lesions. Enough specimens were obtained in all the cases, and no complications occurred. A correct biopsy diagnosis was made in 334 cases, the diagnostic accuracy of biopsy being 91.8% (334/364). ConclusionsThe puncture needles for CTguided percutaneous biopsy of the musculoskeletal system lesions should be selected according to different locations and characteristics of lesions. For sclerotic lesions or lesions containing relatively more sclerotic contents, the bone biopsy needle should be used. For lytic lesions, the biopsy gun should be used. And the combined use of both bone needle and biopsy gun should be utilized for mixed lesions.

参考文献/References:

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备注/Memo

备注/Memo:
①骨科
更新日期/Last Update: 2013-11-15