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计算机断层扫描引导下经椎间孔椎间盘穿刺活检椎体病变取样

Computerized tomography-guided percutaneous transforaminodiscal biopsy sampling of vertebral body lesions.

作者信息

Sucu Hasan Kamil, Bezircioglu Hamdi, Ciçek Canan, Erşahin Yusuf

机构信息

Department of Neurosurgery, Izmir Atatürk Training and Research Hospital, Izmir, Turkey.

出版信息

J Neurosurg. 2003 Jul;99(1 Suppl):51-5.

PMID:12859059
Abstract

OBJECT

The posterolateral approach is the common route for obtaining percutaneous biopsy samples in lumbar and thoracic vertebral bodies (VBs). This procedure, however, is associated with the risk of complications. Because of this, the authors devised a new method for percutaneous biopsy sampling of VB lesions.

METHODS

The percutaneous computerized tomography (CT)-guided transforaminodiscal biopsy procedure was undertaken in 20 patients during a 10-month period. The VBs in 18 cases were successfully accessed using this technique. There were no procedure-related complications.

CONCLUSIONS

Transforaminodiscal CT-guided spinal biopsy procedure is a safe and effective method for accessing VB lesions. It is possible to obtain a biopsy sample in the major part of the VB. This technique is a good alternative to the standard posterolateral approach.

摘要

目的

后外侧入路是获取腰椎和胸椎椎体经皮活检样本的常用途径。然而,该操作存在并发症风险。因此,作者设计了一种新的椎体病变经皮活检采样方法。

方法

在10个月期间,对20例患者进行了经皮计算机断层扫描(CT)引导下经椎间孔椎间盘活检手术。使用该技术成功进入了18例患者的椎体。没有与手术相关的并发症。

结论

CT引导下经椎间孔椎间盘脊柱活检手术是一种安全有效的进入椎体病变的方法。在椎体的大部分区域都可以获取活检样本。该技术是标准后外侧入路的良好替代方法。

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