在使用同一根骨髓活检针进行骨髓芯针活检之前先进行骨髓穿刺：这种做法是好是坏？
Bone marrow aspiration before bone marrow core biopsy using the same bone marrow biopsy needle: a good or bad practice?
作者信息
Islam Anwarul
机构信息
Division of Haematology/Oncology, Department of Medicine, Buffalo General Hospital, NY 14203, USA.
出版信息
J Clin Pathol. 2007 Feb;60(2):212-5. doi: 10.1136/jcp.2006.037341. Epub 2006 Jun 2.
Abstract
A single-needle single-site technique for bone marrow aspiration and core biopsy has been compared with a two-needle technique, using 30 randomly selected patients who required these two investigations. In addition, two single-needle techniques were compared, aspirating immediately after penetrating the cortex or, alternatively, aspirating after the needle (without the stilette) had been advanced 20-25 mm. The two-needle technique was found to be superior to either of the single-needle techniques, which often resulted in a biopsy specimen that was denuded of bone marrow cells.
摘要
采用单针单点技术进行骨髓穿刺和核心活检，并与双针技术进行了比较，研究选取了30名随机挑选的需要这两项检查的患者。此外，还比较了两种单针技术，一种是在穿透皮质后立即抽吸，另一种是在针（不带针芯）推进20 - 25毫米后抽吸。结果发现，双针技术优于任何一种单针技术，单针技术常常导致活检标本骨髓细胞缺失。
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