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脊柱骨病变的细针穿刺活检:诊断价值

Fine-Needle aspiration biopsy of bone lesions in the spine: diagnostic value.

作者信息

Sloth M, Bartholdy N, Andersen M J, Thommesen P

出版信息

Rontgenblatter. 1984 Nov;37(11):399-90.

PMID:6240109
Abstract

Fine-needle aspiration biopsy was performed in 92 patients with back pain and a lesion confirmed via x-ray of the spine. In 31 patients in whom x-ray findings had suggested spondylitis, fine-needle aspiration biopsy showed the presence of a tumour in three patients. Of 61 patients with radiographic findings suggestive of malignancy, 26 had benign unspecific lesions, and 35 patients had neoplastic lesions. There were four false negative cytological reports and one false positive report. Additional ESR determination was of no clinical value. There were no complications. Fine-needle aspiration biopsy of bone lesions is recommended as an easy, safe and very often a valuable diagnostic complement.

摘要

对92例背痛且经脊柱X光检查确诊有病变的患者进行了细针穿刺活检。在31例X光检查结果提示为脊柱炎的患者中,细针穿刺活检显示3例存在肿瘤。在61例X光检查结果提示为恶性肿瘤的患者中,26例有良性非特异性病变,35例有肿瘤性病变。有4例假阴性细胞学报告和1例假阳性报告。额外的红细胞沉降率测定无临床价值。未出现并发症。骨病变细针穿刺活检因其简便、安全且常常是一种有价值的诊断补充方法而被推荐。

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