Vogel B
Klinik fuer Pneumologie, Krankenhaus Heidehaus, Hannover, Germany.
Chest. 1993 Oct;104(4):1003-5. doi: 10.1378/chest.104.4.1003.
Eighty-six osteolytic lesions of the rib cage were examined by means of conventional radiography and ultrasonography. The ultrasonographic criteria of osteolysis are described. Only 1 rib metastasis was missed by ultrasonography while 13 lesions were not detected by x-ray film. Of 63 ultrasonographically guided biopsies, 62 resulted in the final diagnosis; complications were not observed. The results recommend ultrasonographic examination combined with guided biopsy as the first diagnostic step, if a metastasis of the rib cage is suspected after physical examination or after a pathologic bone scan.
对86处肋骨溶骨性病变进行了传统X线摄影和超声检查。描述了溶骨的超声诊断标准。超声检查仅漏诊1处肋骨转移瘤，而X线片未检测到13处病变。在63例超声引导下活检中，62例得出了最终诊断结果；未观察到并发症。结果表明，如果在体格检查或病理性骨扫描后怀疑有肋骨转移，超声检查联合引导下活检应作为首选诊断步骤。
