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目的通过总结78例骨肿瘤患者穿刺活检的结果,探讨穿刺活检在骨肿瘤诊断中的价值。方法 2003年1月—2009年6月德阳市人民医院骨科在影像设备监控引导下,采用套管活检针对肿瘤进行术前穿刺活检,分析穿刺活检的结果。结果本组78例患者均未发生穿刺部位血管神经损伤或感染等并发症,无针道肿瘤播散证据;组织获取率为100%,准确率为84.62%。无效穿刺活检的12例患者中,6例为原发性骨恶性肿瘤,3例为骨巨细胞瘤,3例为转移性骨肿瘤。结论穿刺活检准确性较高,是肿瘤术前明确诊断的较好选择,但其准确率受多因素影响,不可单一依赖穿刺活检病理结果对患者实施诊治。
Objective To summarize the results of biopsy of 78 patients with bone tumor and explore the value of biopsy in the diagnosis of bone tumor. Methods From January 2003 to June 2009, under the guidance of imaging equipment monitoring, orthopedic department of Deyang People’s Hospital conducted a biopsy of the tumor using a bile duct biopsy and analyzed the results of the biopsy. Results There were no complications of vascular nerve injury or infection at the puncture site in 78 patients in this group. There was no needle-spread tumor spread evidence. The tissue acquisition rate was 100% and the accuracy rate was 84.62%. Among the 12 patients who failed biopsy, 6 were primary bone malignancies, 3 were giant cell tumors of the bone, and 3 were metastatic bone tumors. Conclusion The high accuracy of biopsy is a good preoperative diagnosis of tumor better choice, but its accuracy is affected by many factors, and can not rely on biopsy pathological results of a single diagnosis and treatment of patients.