Zentner J, Hassler W
Department of Neurosurgery, Medical School, University of Freiburg, Federal Republic of Germany.
Acta Neurochir (Wien). 1988;94(3-4):155-7. doi: 10.1007/BF01435870.
A new technique for closed biopsy of the spine is presented. Using a stereotactic biopsy forceps, which is advanced to the lesion through a protective puncture cannula, sufficient samples from different sites of the lesion can be obtained. Biopsy was performed in seven patients harbouring osteolytic and osteoplastic lesions of the cervical (3 cases), thoracic (3 cases) and lumbar spine (1 case). Histological diagnosis was possible in five patients. In all of them, metastatic disease was found. In our opinion, using this device closed biopsy of the spine is a simple and efficient method for obtaining sufficient material at different levels of the spine and at different sites within a lesion. We recommend its use when the therapeutic consequences--surgical tumour removal with stabilization, stabilization alone or radiation therapy--is contingent on the histopathological diagnosis.
本文介绍了一种脊柱闭合活检的新技术。使用立体定向活检钳，通过保护性穿刺套管推进至病变部位，可从病变的不同部位获取足够的样本。对7例颈椎（3例）、胸椎（3例）和腰椎（1例）存在溶骨性和成骨性病变的患者进行了活检。5例患者获得了组织学诊断。在所有这些患者中，均发现为转移性疾病。我们认为，使用该设备进行脊柱闭合活检是一种简单有效的方法，可在脊柱的不同节段和病变内的不同部位获取足够的材料。当治疗结果——手术切除肿瘤并进行稳定治疗、单纯稳定治疗或放射治疗——取决于组织病理学诊断时，我们推荐使用该方法。
