Reuther G
Fachbereich Bildgebende Diagnostik, Deutsche Klinik für Diagnostik, Wiesbaden.
Rofo. 1994 Jan;160(1):78-83. doi: 10.1055/s-2008-1032377.
The value of percutaneous CT-guided biopsies of the axial skeleton for establishing a diagnosis is determined from a series of 75 punctures in 74 patients in retrospect. Indications showed benign conditions to prevail over malignant lesions by a ratio of 1.6:1. Biopsy routes turned out to be strongly determined by regional anatomy allowing for a standardised procedure in each area. 64 out of 75 histological diagnoses were confirmed by open surgery (n = 17) or follow-up (n = 58) accounting for an accuracy of 85.3%. In 7 cases no definite diagnosis could be made from the sample and in 4 cases the diagnosis proved false although tissue cores could be obtained in each case. No serious or irreversible complications occurred. CT-guided punctures of the axial skeleton are considered a safe and highly accurate procedure to establish a definite diagnosis unless there is a primary indication for surgery or the need for decompression.
回顾性分析74例患者75次经皮CT引导下轴骨活检用于明确诊断的价值。结果显示，良性病变与恶性病变的比例为1.6:1，良性病变占优势。活检路径很大程度上由局部解剖结构决定，使得每个区域都能采用标准化操作。75例组织学诊断中有64例经开放手术（n = 17）或随访（n = 58）得到证实，准确率为85.3%。7例样本无法明确诊断，4例诊断结果错误，尽管每例均获取了组织芯。未发生严重或不可逆的并发症。除非有手术的主要指征或需要减压，经皮CT引导下轴骨穿刺被认为是一种安全且高度准确的明确诊断的方法。
