摘要
目的探讨CT导引下经皮穿刺活检对骨骼肌肉恶性肿瘤性疾病的诊断价值。方法106例骨骼肌肉病变行CT导引下经皮穿刺活检,对比穿刺病理结果与临床诊断最终结果。结果106例CT导引下经皮骨骼肌肉穿刺活检病例,经临床手术及切开活检病理结果全部为恶性肿瘤病变,其中89例病理结果与CT导引下经皮穿刺活检结果相符,17例CT导引下穿刺活检病理结果为"阴性"。活检正确率84.0%;结论CT导引下经皮穿刺对骨骼肌肉恶性肿瘤性病变是安全、简便、有效的诊断手段,对于活检结果为"阴性"的病例适时的切开活检可能是必要的。
Objective To evaluate CT-guided percutaneous biopsy and fine needle aspiration in diagnosing malignant musculoskeletal tumors.Methods CT-guided percutaneous biopsy and fine needle aspiration was performed in 106 cases with suspected musculoskeletal tumor.The pathological results obtained from biopsy specimens were compared with clinical final pathological diagnoses.Results All 106 cases were finally diagnosed as suffering from malignant musculoskeletal tumors,which were proved by operation and incisional biopsy.Of 106 cases receiving CT-guided percutaneous biopsy and needle aspiration,the pathologic diagnosis obtained from this procedure was consistent with the clinical final pathological diagnosis in 89 and was ＂negative＂ in 17,with an accuracy rate of 84.0%.Conclusion CT-guided percutaneous biopsy and fine needle aspiration is a safe,simple and effective technique for the diagnosis of malignant musculoskeletal tumors.Incisional biopsy may be necessary when this procedure gives ＂negative＂ result.
出处
《介入放射学杂志》
CSCD
北大核心
2009年第11期834-837,共4页
Journal of Interventional Radiology
关键词
骨骼肌肉
肿瘤
病变
活检
CT导引
skeleton and muscle
tumor
lesion
biopsy
CT-guidance
