CT导引骶髂关节穿刺活检和注射技术的应用.pdfVIP

·692 · 2002 5 25 82 10 　Natl Med J China, May 25, 2002, Vol 82, No.10 ·· CT 刘源　王庆文　肖壮伟　陈肃标　曾庆馀 【】　　 CT 。 　3 ()、(AS)18 AS (uSpA)10 。CT , , 28 。　4/6, 28 96.4%(54/56)。 1.69 cm ±0.63 cm。88.5%(46/54), 91.7 %(22/24 )。AS uSpA 。78.6%(22/28)。 。　CT 、 。1/3 1/3 。uSpA AS 。AS uSpA 。 【】　, ;　;　, ;　, ＊ CT-guided percutaneous needle biopsy and intra-articular injection of sacroiliac joint　LIUYuan , WANG ＊ Qingwen, XIAO Zhuangwei, CHEN Subiao, ZENG Qingyu.　 Depart ent of Radiology, First Hospital, Shantou University Medical School, Shantou 515041, China 【Abstract】　Objective　To investigate the clinical value of CT-guided pe cutaneous needle biopsy and int a-a ticula injection of sac oiliac joint.Methods 　CT-guided pe cutaeous punctu e was conducted to the bilate al sac oiliac joints of 3 specimens of adult pelvis, 18 patients with ankylosing spondylitis (AS), and 10 patients with undiffe entiated spondyloa th opathy (uSpA)suspected as ea ly AS clinically.All 28 patients had taken non-ste oidal anti-inflammato y agents without adequate cont ol of symptoms o with se ious side effects. Biopsy of synovium with 16G o 18G needles and int a-a ticula injection of ste oid we e made to the 28 patients. Results　The gene al success ate of punctu e was 4/6 among the specimens of pelvis and was 96.4% (54/56) among the 28 patients.The level of needle inse tion was 1.69 cm ±0.63 cm up the lowe edge of the joint.The obtainment ate of biopsy specimen was 88.5%(46/54)fo the cases punctu ed successfully.The positive ate of pathological examination was 91.7% (22/24).Ma ked inflammato y changes we e found in the biopsy specimens f om AS patients and ea ly inflammato y changes we e found in the biopsy specimens f om uSpA patients.The immediate effecti