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椎间盘穿刺在感染性脊椎椎间盘炎诊断中的价值。关于48例穿刺病例

[Value of disk puncture in the diagnosis of infectious spondylodiskitis. Apropos of 48 punctures].

作者信息

Duquennoy A, Delcambre B, Duquesnoy B, Bar P, Siame J L, d'Eshougues J R

出版信息

Rev Rhum Mal Osteoartic. 1979 Nov;46(11):615-7.

PMID:395625
Abstract

The authors report on their experience with discal puncture in the bacteriological diagnosis of 48 infectious spondylodiscites. This technique makes it possible to obtain a bacteriological certitude in 31 cases (65 per cent): Pott's disease (40 per cent) and 12 pyogene spondylodiscites (25 per cent), with 17 punctures remaining negative, including 5 technical failures, the needle not penetrating into the pinched disc. No incident was noted, demonstrating the harmless nature of this method. The authors insist upon the necessity of washing the disc in order to decrease the percentage of failures.

摘要

作者报告了他们在48例感染性脊椎椎间盘炎细菌学诊断中进行椎间盘穿刺的经验。该技术在31例(65%)病例中能够获得细菌学确诊:脊柱结核(40%)和12例化脓性脊椎椎间盘炎(25%),17次穿刺结果为阴性,其中包括5次技术失败,即针未刺入夹闭的椎间盘。未观察到任何不良事件,证明了该方法的安全性。作者强调为降低失败率而冲洗椎间盘的必要性。

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