CT引导下经皮穿刺活检技术在脊柱感染病变诊断中的应用研究

发布时间：2018-03-03 01:29

本文选题：体层摄影术　切入点：X线计算机　出处：《中华医院感染学杂志》2016年12期 　论文类型：期刊论文

【摘要】：目的探讨CT引导下经皮穿刺活检在脊柱感染病变诊断中的应用价值,为临床诊断提供依据。方法回顾性分析2011年6月-2015年6月医院收治的在CT引导下经皮穿刺活检技术诊断的脊柱病变72例患者临床资料,观察穿刺活检术的病理结果,对穿刺活检的准确性、安全性进行分析。结果 72例患者中71例获得满意标本,占98.6%;72例成功活检患者中均未发生大血管损伤、感染、截瘫神经损伤等并发症;72例均有手术病理结果,其中穿刺活检结果与手术结果相符的67例,穿刺活检的准确率为93.1%;各脊柱感染病变诊断准确率均较高,其中溶骨性感染病变诊断准确率为98.1%,较成骨性感染及混合型感染病变诊断准确率80.0%明显升高,差异有统计学意义(P0.05)。结论 CT引导下经皮穿刺活检技术具有安全、有效、微创、准确率高等优势,是确诊脊柱感染病变的有效方法,在脊柱感染病变诊断中具有非常高的应用价值。
[Abstract]:Objective to evaluate the value of CT guided percutaneous biopsy in the diagnosis of spinal infection. Methods the clinical data of 72 patients with spinal diseases diagnosed by CT guided percutaneous biopsy from June 2011 to June 2015 were analyzed retrospectively. The accuracy and safety of biopsy were analyzed. Results there were 71 cases of satisfactory specimens in 72 cases, accounting for 98.6 cases of successful biopsy, none of them had macrovascular injury and infection. In 72 cases of paraplegic nerve injury and other complications, surgical and pathological results were found in all the 72 cases, among which 67 cases with the results of puncture biopsy were consistent with the results of operation, the accuracy of puncture biopsy was 93.1.The accuracy of diagnosis of each spinal infection was higher. The diagnostic accuracy of osteolytic infection was 98.1, which was significantly higher than that of osteogenic infection and mixed infection (P 0.05). Conclusion CT guided percutaneous biopsy is safe, effective and minimally invasive. It is an effective method for the diagnosis of spinal infection and has a high application value in the diagnosis of spinal infection.
【作者单位】：宁波市第二医院放射科;宁波市第二医院感染科;
【基金】：浙江省区域专病中心建设学科基金资助项目(2014-98)
【分类号】：R681.5;R816.8

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