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闭合式针吸活检在颅内占位性病变诊断中的应用

Closed needle biopsy in the diagnosis of intracranial mass lesions.

作者信息

Shetter A G, Bertuccini T V, Pittman H W

出版信息

Surg Neurol. 1977 Nov;8(5):341-5.

PMID:918832
Abstract

A retrospective study was performed on 54 patients with intracranial mass lesions who underwent closed needle biopsy using freehand and stereotactic biopsy techniques. A diagnosis of brain neoplasm was established in 44 of 54 patients, and nonneoplastic abnormalities were discovered in an additional six cases. Permanent neurologic worsening was noted in two instances following biopsy, and a single patient died as a result of the procedure. Closed needle biopsy, particulary when done stereotactically, appears to be a resonably safe and efficacious means of establishing a tissue diagnosis in carefully selected patients suspected of harboring a deep-seated supratentorial cerebral neoplasm.

摘要

对54例颅内占位性病变患者进行了一项回顾性研究,这些患者采用徒手和立体定向活检技术进行了闭合式针吸活检。54例患者中有44例确诊为脑肿瘤,另外6例发现为非肿瘤性异常。活检后有2例出现永久性神经功能恶化,1例患者因该操作死亡。闭合式针吸活检,特别是立体定向活检,对于精心挑选的疑似患有幕上深部脑肿瘤的患者而言,似乎是一种相当安全有效的组织诊断方法。

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1
Closed needle biopsy in the diagnosis of intracranial mass lesions.闭合式针吸活检在颅内占位性病变诊断中的应用
Surg Neurol. 1977 Nov;8(5):341-5.
2
Fine-needle aspiration biopsy of the central nervous system performed freehand under computed tomography guidance without stereotactic instrumentation.在计算机断层扫描引导下徒手进行中枢神经系统细针穿刺活检,无需立体定向器械。
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[Usefulness of the "P.N." frame in biopsies and stereotactic operations on the brain].["P.N."框架在脑活检和立体定向手术中的应用价值]
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[Complications and diagnostic yield of stereotactic biopsy for the patients with malignant brain tumors].[恶性脑肿瘤患者立体定向活检的并发症及诊断率]
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Stereotactic biopsy in surgically inaccessible tumors with the use of "P.N." type frame.使用“P.N.”型框架对手术难以触及的肿瘤进行立体定向活检。
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[Stereotactic brain biopsy].[立体定向脑活检]
Harefuah. 1995 Apr 16;128(8):470-4, 528.
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An analysis of stereotactic biopsy of brain tumors and nonneoplastic lesions: a prospective clinicopathologic study.脑肿瘤和非肿瘤性病变的立体定向活检分析:一项前瞻性临床病理研究。
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Clues and pitfalls in stereotactic biopsy of the central nervous system.中枢神经系统立体定向活检中的线索与陷阱
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[Stereotactic biopsy for intracranial deep lesions].[颅内深部病变的立体定向活检]
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Correlation of diagnostic yield of stereotactic brain biopsy with number of biopsy bits and site of the lesion.立体定向脑活检诊断率与活检组织块数量及病变部位的相关性。
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引用本文的文献

1
The role of stereotactic biopsy in the management of gliomas.立体定向活检在胶质瘤治疗中的作用。
J Neurooncol. 1999 May;42(3):205-13. doi: 10.1023/a:1006105415194.
2
Current treatment of thalamic gliomas in children.儿童丘脑胶质瘤的当前治疗方法。
J Neurooncol. 1996 May-Jun;28(2-3):157-66. doi: 10.1007/BF00250196.
3
Results of 200 intracranial stereotactic biopsies.200例颅内立体定向活检的结果。
Neurosurg Rev. 1994;17(1):59-66. doi: 10.1007/BF00309989.
4
Stereotactic biopsy of intracranial space occupying lesions.
Acta Neurochir (Wien). 1981;57(3-4):213-34. doi: 10.1007/BF01664839.
5
CT computerised stereotactic biopsy for low density CT lesions presenting with epilepsy.计算机断层扫描(CT)引导下立体定向活检术用于伴有癫痫的低密度CT病变
J Neurol Neurosurg Psychiatry. 1987 Oct;50(10):1302-5. doi: 10.1136/jnnp.50.10.1302.
6
Differences between neurological and neurosurgical approaches in the management of malignant brain tumours.恶性脑肿瘤治疗中神经学与神经外科方法的差异。
Br Med J (Clin Res Ed). 1986 Oct 18;293(6553):1015-8. doi: 10.1136/bmj.293.6553.1015.
7
Computed tomography in the diagnosis of malignant brain tumours: do all patients require biopsy?计算机断层扫描在恶性脑肿瘤诊断中的应用:所有患者都需要活检吗?
J Neurol Neurosurg Psychiatry. 1989 Jul;52(7):821-5. doi: 10.1136/jnnp.52.7.821.
8
A new ultrasound-guided brain biopsy technique through a burr hole. Technical note.一种通过骨钻孔的新型超声引导下脑活检技术。技术说明。
Acta Neurochir (Wien). 1989;96(1-2):72-5. doi: 10.1007/BF01403497.