CT Guided Transpedicular Biopsy in Diagnosing Vertebral Body Lesions_West China Medical Journal

Authors：

YOU Xin , LIU Xia , LI Jun ,  LIAO Zhengyin

Cancer Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P.R.China;

Corresponding author：

LIAO Zhengyin, Email: youxin_dm@sina.com.cn

Keywords：

活组织检查; 经椎弓根; 椎体病变; X线计算机; 放射学; 介入性

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【摘要】　目的　探讨CT引导下经椎弓根穿刺活检对椎体病变的诊断价值及可行性。　方法　回顾性分析2009年5月—2010年4月42例椎体病变患者经椎弓根穿刺活检的穿刺活检方法、病理结果、最终诊断及穿刺并发症。　结果　患者总穿刺准确率为95.2%（40/42）。其中恶性病变的穿刺准确率为94.3%（33/35），良性病变穿刺准确率为100%（7/7）；所有患者均未发生严重穿刺并发症。　结论　 CT引导下经椎弓根穿刺活检诊断椎体病变有安全可靠、准确性高等特点。
【Abstract】　Objective　 To explore the value and the feasibility of CT guided transpedicular biopsy in diagnosing vertebral body lesions. 　Methods　 From May 2009 to April 2010, 42 patients with vertebral body lesions underwent CT guided transpedicular biopsy. The clinical data including the puncture method, pahtological resutls, final diagnosis, and the pucture complications were retrospectively analyzed. 　Results　 The total accuracy rate of the puncture was 95.2%(40/42). The accuracy rate of the puncture was 94.3% (33/35) for malignant lesions and 100.0% (7/7) for benign lesions. No complication occurred. 　Conclusion　 CT guided transpedicular biopsy is very helpful in diagnosing vertebral body lesions with high accuracy and fewer complications.

Citation： YOU Xin,LIU Xia,LI Jun,LIAO Zhengyin. CT Guided Transpedicular Biopsy in Diagnosing Vertebral Body Lesions. West China Medical Journal, 2011, 26(5): 688-690. doi: Copy

1.	Ashizaira R, Ohtsuka K, Kamimura M, et al. Percutaneous transpedicular biopsy of thoracic and lumbar vertebral method and diagnostic validity[J]. Surg Neurol, 1999, 52(6): 545-551.
2.	Ward JC, Jeanneret B, Oehlschlegel C, et al. The value of percutaneous transpedicular vertebral bone biopsies for histologic examination[J]. Spine (Phila Pa 1976), 1996, 21(21): 2484-2490.
3.	葛坤元, 倪才方, 陈珑, 等. 同轴活检术在经皮椎体成形术中的应用[J]. 苏州大学学报(医学版), 2010, 30(2): 56-57.
4.	汪和平, 向军益, 齐晨晖, 等. 在X线、CT导引下经皮椎弓根穿刺胸腰椎椎体活检术的价值[J]. 临床放射学杂志, 2009, 28(7): 121-122.
5.	Lanedo JD, Ballaiche L, Haiaze B, et al. Current status of musculoskeletal interventional radiology[J]. Radiol Clin North Am, 1994, 32(2): 377-379.
6.	朱结辉, 黄学全, 陈伟, 等. CT引导下经椎弓根穿刺活检对椎体病变的诊断价值[J]. 医学影像学杂志, 2005, 15(1): 1-3.
7.	李建民, 杨志平, 马祥兴. CT引导下经皮经椎弓根脊椎肿瘤穿刺活检[J]. 山东医科大学学报, 2000, 38(3): 293-294.
8.	Renfrew DL, Whitten CG, Wiese JA, et al. CT guided percutaneous transpedicular biopsy of the spine[J]. Radiology, 1991, 180(2): 574-576.
9.	Jelmek JS, Kransdorf MJ, Gray R, et al. Percutaneous transpedicular biopsy of vertebral body lesions[J]. Spine (Phila Pa 1976), 1996, 21(17): 2035-2040.
10.	祝婷婷, 甘万崇, 胡红耀, 等. CT导向经皮穿刺椎体活检术在椎体病变中的诊断价值[J]. 临床放射学杂志, 2010, 29(3): 212-213.
11.	张雪哲, 刘辉, 陆立. CT导引下椎体穿刺活检[J]. 中华放射学杂志, 1997, 31(6): 372-374.
12.	Nourbakhsh A, Grady JJ, Garges KJ. Percutaneous spine biopsy: a meta-analysis[J]. J Bone Joint Surg Am, 2008, 90(8): 1722-1725.

1. 　Ashizaira R, Ohtsuka K, Kamimura M, et al. Percutaneous transpedicular biopsy of thoracic and lumbar vertebral method and diagnostic validity[J]. Surg Neurol, 1999, 52(6): 545-551.
2. 　Ward JC, Jeanneret B, Oehlschlegel C, et al. The value of percutaneous transpedicular vertebral bone biopsies for histologic examination[J]. Spine (Phila Pa 1976), 1996, 21(21): 2484-2490.
3. 　葛坤元, 倪才方, 陈珑, 等. 同轴活检术在经皮椎体成形术中的应用[J]. 苏州大学学报(医学版), 2010, 30(2): 56-57.
4. 　汪和平, 向军益, 齐晨晖, 等. 在X线、CT导引下经皮椎弓根穿刺胸腰椎椎体活检术的价值[J]. 临床放射学杂志, 2009, 28(7): 121-122.
5. 　Lanedo JD, Ballaiche L, Haiaze B, et al. Current status of musculoskeletal interventional radiology[J]. Radiol Clin North Am, 1994, 32(2): 377-379.
6. 　朱结辉, 黄学全, 陈伟, 等. CT引导下经椎弓根穿刺活检对椎体病变的诊断价值[J]. 医学影像学杂志, 2005, 15(1): 1-3.
7. 　李建民, 杨志平, 马祥兴. CT引导下经皮经椎弓根脊椎肿瘤穿刺活检[J]. 山东医科大学学报, 2000, 38(3): 293-294.
8. 　Renfrew DL, Whitten CG, Wiese JA, et al. CT guided percutaneous transpedicular biopsy of the spine[J]. Radiology, 1991, 180(2): 574-576.
9. 　Jelmek JS, Kransdorf MJ, Gray R, et al. Percutaneous transpedicular biopsy of vertebral body lesions[J]. Spine (Phila Pa 1976), 1996, 21(17): 2035-2040.
10. 　祝婷婷, 甘万崇, 胡红耀, 等. CT导向经皮穿刺椎体活检术在椎体病变中的诊断价值[J]. 临床放射学杂志, 2010, 29(3): 212-213.
11. 　张雪哲, 刘辉, 陆立. CT导引下椎体穿刺活检[J]. 中华放射学杂志, 1997, 31(6): 372-374.
12. 　Nourbakhsh A, Grady JJ, Garges KJ. Percutaneous spine biopsy: a meta-analysis[J]. J Bone Joint Surg Am, 2008, 90(8): 1722-1725.

West China Medical Journal

CT Guided Transpedicular Biopsy in Diagnosing Vertebral Body Lesions

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