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CT引导下穿刺活检术在骨疾患诊断中的应用和准确性分析 |
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检对肿瘤有很高的诊断率,特别是对转移癌和浆细胞瘤诊断率高,没有肿瘤既往史的转移癌病例,活检结果常能对原发部位提供提示。对于原发恶性肿瘤可及时做出诊断,对需要术前化疗的病例可尽早实施化疗,对手术病例可确定更合理的切除范围。对于某些良性病变,骨质改变是非特异性的,常常无法做出确切诊断,但排除了肿瘤,避免了切开活检或不必要的治疗。 参考文献: 〔1〕 方志伟,施学东,米川,等.CT引导下椎体病灶穿刺活检术的临床应用[J].北京医科大学学报,2000,6(增刊):136137. 〔2〕 邢秀芬,李挺,栗怀广,等.57例骨肿瘤的穿刺细胞学诊断分析[J].临床与实验病理学杂志,2004,20(3):289291. 〔3〕 Bickels J,Jelinek JS,Shmookler BM,et al.Biopsy of musculoskeletal tumors:current concepts[J].Clin Ortho Related Res,1999,368(11):212219. 〔4〕 刘晓光,刘忠军,党耕町,等.CT检测下经皮脊柱穿刺活检352例分析[J].中国脊柱脊髓杂志,2004,14(2):8285.来源: 〔5〕 Kornblum MB,Wesolowski DP,Fischgrund JS,et al.Computed tomographyguided biopsy of the spine:a review of 103 patients[J].Spine,1998,23(1):8185. 〔6〕 Lis E,Bilsky MH,Pisinski L,et al.Percutaneous CTguided biopsy of osseous lesion of the spine in patients with known or suspected malignancy[J].AJNR Am J Neuroradiol,2004,25(9):15831588. 〔7〕 Jelinek JS,Murphey MD,Welker JA,et al.Diagnosis of primary bone tumors with imageguided percutaneous biopsy:experience with 110 tumors[J].Radiology,2002,223(3):731737. 〔8〕 Altuntas AO,Slavin J,Smith PJ,et al.Accuracy of computed tomography guided core needle biopsy of musculoskeletal tumours[J].ANZ J Surg,2005,75(4):187191. 〔9〕 Dupuy DE,Rosenberg AE,Punyaratabandhu T,et al.Accuracy of CT guided needle biopsy of musculoskeletal neoplasms[J].AJR Am J Roentgenol,1998,171(9):759762. 〔10〕 Kattapuram SV,Khurana JS,Rosenthal DI.Percutaneous needle biopsy of the spine[J].Spine,1992,17:561564. 〔11〕 Olscamp A,Rollins J,Tao SS,et al.Complications of CTguided biopsy of the spine and sacrum[J].Orthopedics,1997,20(12):11491152.
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