Brugières P, Ricolfi F, Valiente E, Thomas P, Qanadli S, Gaston A
Service de neuroradiologie, hôpital Henri-Mondor, Créteil.
Rev Prat. 1994 Jun 15;44(12):1595-9.
CT-guided vertebral biopsy is a simple, non dangerous, and usually an effective method for the actiological diagnosis and the treatment of vertebral lesions. The authors detail the biopsy technique, the needles and the route used according to the anatomical distribution and the osteosclerotic or osteolytic aspect of the vertebral lesion. In 60% of ordinary infectious spondylodiscitis the biopsy is positive. Early diagnosis of tuberculous spondylodiscitis is usually possible only to anatomopathological examination on osteodiscal samples. In tumoral disease the association of biopsy and cytological specimens provides the best results, specially in osteolytic vertebral lesions.
CT引导下的椎体活检是一种简单、无危险且通常有效的方法，用于椎体病变的病因诊断和治疗。作者根据椎体病变的解剖分布以及骨硬化或骨溶解情况，详细介绍了活检技术、使用的针具和路径。在60%的普通感染性脊椎椎间盘炎中，活检呈阳性。结核性脊椎椎间盘炎的早期诊断通常只有通过对骨椎间盘样本进行解剖病理学检查才有可能。在肿瘤性疾病中，活检与细胞学标本相结合能取得最佳结果，特别是在溶骨性椎体病变中。
