本文選題：骨腫瘤病變 + 穿刺活檢　； 參考：《浙江大學(xué)》2017年碩士論文

【摘要】：目的:探討CT引導(dǎo)下穿刺活檢對骨腫瘤病變診斷的臨床應(yīng)用價值。方法:回顧性分析于2016年10月至2017年2月在本醫(yī)療組出院曾行CT引導(dǎo)下穿刺活檢的52例患者,男26例,女26例,年齡7-78歲,平均年齡47.2歲;對比穿刺病理結(jié)果與臨床診斷最終結(jié)果;分析其穿刺活檢病理陽性、陰性結(jié)果及活檢正確率來評價CT引導(dǎo)下穿刺活檢對骨骼病變診斷的臨床應(yīng)用價值。結(jié)果:所有52例患者共行55例穿刺活檢,取材成功率100%,其中獲得明確診斷50例(92.7%)。52例患者活檢總準(zhǔn)確率為96.2%,其中34例患者結(jié)合病史和臨床血生化指標(biāo),33證實符合診斷,1例為假陰性;余18例患者經(jīng)外科手術(shù),17獲得病理證實,1例經(jīng)病理提示為假陰性。并發(fā)癥方面,所有患者穿刺活檢后未發(fā)現(xiàn)大量出血、神經(jīng)損傷等嚴(yán)重并發(fā)癥。結(jié)論:CT引導(dǎo)下穿刺活檢對骨骼病變的診斷準(zhǔn)確率高,且并發(fā)癥少,是明確診斷骨骼病變的較好選擇。
[Abstract]:Objective: to evaluate the value of CT-guided biopsy in the diagnosis of bone tumor.Methods: from October 2016 to February 2017, 52 patients (26 males and 26 females, aged 7-78 years, with an average age of 47.2 years) who had undergone CT-guided biopsy were retrospectively analyzed.To evaluate the clinical value of CT-guided biopsy in the diagnosis of bone diseases, the positive and negative results of biopsy and the correct rate of biopsy were analyzed by comparing the results of biopsy pathology with the final results of clinical diagnosis.Results: 55 biopsies were performed in all 52 patients.The total accuracy of biopsy was 96.22in 50 cases with definite diagnosis of 92.70.52 cases, of which 34 cases were confirmed to be false-negative in accordance with the history and clinical biochemical indexes (P < 0.05).The remaining 18 cases were confirmed pathologically by surgery and 1 case was false-negative.In terms of complications, no severe complications such as massive bleeding and nerve injury were found in all patients after biopsy.Conclusion the accuracy of diagnosis of bone lesions is high, and the complications are few, so it is a better choice for definite diagnosis of bone diseases.
【學(xué)位授予單位】：浙江大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R738;R730.44
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本文編號：1759225