Percutaneous Biopsy of the Spine: Analysis of 84 Cases
Küçük Resim Yok
Tarih
2012
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Dergi Başlığı
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Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Omurgadan perkütan biyopsi lokal anestezi altında, ayaktan hastalara uygulanabilir. Patolojik ya da mikrobiyolojik tanı sonucuna göre, hastalara cerrahi girişim gerekmeden radyoterapi veya antibiyoterapi ile tedavi uygulanabilir. Bu çalışmada, perkütan omurga biopsisi ile ilgili deneyimlerimizi sunmayı amaçladık. Yöntem ve Gereç: Kliniğimizde 1995-2007 yılları arasında, radyolojik incelemelerinde spinal patoloji saptanarak perkütan biyopsi uygulanmış 84 hastanın dosyası retrospektif olarak incelenmiştir. Bulgular: 49 erkek, 35 kadın olmak üzere toplam 84 hastaya çeşitli nedenlerle omurga biyopsisi uygulandı. Biyopsilerin, 5'i servikal, 18'i torakal, 49'u lomber ve 12'si sakral bölgede yapıldı. Biyopsi sonuçları 32 olguda spondilodiskit, 17 olguda primer tümör ve 24 olguda metastatik tümör tanısı aldı. 11 biyopsi sonucu ise tanı koydurucu olmadı. Spondilodiskit tanılı hastaların biyopsi materyallerinde en sık izole edilen etken Stapylococcus Aureus, en sık 2. etken ise Mycobacterium Tuberculosis olmuştur. Serimizde enfeksiyon en sık lomber bölgede yerleşmiştir (32 spondilodiskitin 19' u), en sık metastaz da yine lomber bölgede ( 24 metestazın 13' ü) saptandı. Biyopsi sonucuna göre toplam 34 hastaya cerrahi girişim uygulandı. Serimizde, uygulanan girişim ile ilgili bir komplikasyon ya da mortalite ile karşılaşılmamıştır. Biyopsi olgularımızın %87'si tanı koydurucu olmuştur. Sonuç: Perkütan omurga biyopsisi, omurganın patolojik lezyonlarının kesin tanı ve tedavisi için önemli bir tanı yöntemidir. Doğruluğu ve düşük komplikasyon oranı Bilgisayarlı Tomografi eşliğinde yapılan biopsi tekniği ile benzerdir.
Objective: Percutaneous vertebral biopsy can be performed under local anesthesia on an outpatient basis. So then additional therapies such as radiotherapy, chemotherapy and antibiotherapy may be planned without an open surgery after getting histopathological or microbiological results. This study aims to analyse the accuracy and results of a series of patients that we performed percutaneous biopsy of the spine. Methods: the medical records of 84 patients with vertebral pathologic lesions who underwent percutaneous vertebral biopsy at our institution between 1995 and 2007 were reviewed. Results: There were 84 patients (49 male, 35 female). the biopsies were performed in the following regions: cervical (5), thoracic (18), lumbar (49) and sacral (12). the diagnoses were spondylodiscitis in 32, primary tumors in 17, and metastatic tumors in 24 cases. Eleven biopsies were not diagnostic. in patients with spondylodiscitis, the most common isolated microorganism was Staphylococcus aureus (13), followed by Mycobacterium tuberculosis (9). the lumbar spine was the most common location of infection (19 of 32) and also of metastatic tumors (13 of 24). 34 patients underwent a surgical procedure according to the biopsy results. There were no post procedure complications or mortality in our series. 73 of our biopsies (87%) were diagnostic. Conclusions: Fluoroscopic guided percutaneous vertebral biopsy is still an important diagnostic method for the accurate diagnosis and treatment of vertebral pathologic lesions. Its accuracy and low complication rate are similar to that of the CT guided biopsy technique.
Objective: Percutaneous vertebral biopsy can be performed under local anesthesia on an outpatient basis. So then additional therapies such as radiotherapy, chemotherapy and antibiotherapy may be planned without an open surgery after getting histopathological or microbiological results. This study aims to analyse the accuracy and results of a series of patients that we performed percutaneous biopsy of the spine. Methods: the medical records of 84 patients with vertebral pathologic lesions who underwent percutaneous vertebral biopsy at our institution between 1995 and 2007 were reviewed. Results: There were 84 patients (49 male, 35 female). the biopsies were performed in the following regions: cervical (5), thoracic (18), lumbar (49) and sacral (12). the diagnoses were spondylodiscitis in 32, primary tumors in 17, and metastatic tumors in 24 cases. Eleven biopsies were not diagnostic. in patients with spondylodiscitis, the most common isolated microorganism was Staphylococcus aureus (13), followed by Mycobacterium tuberculosis (9). the lumbar spine was the most common location of infection (19 of 32) and also of metastatic tumors (13 of 24). 34 patients underwent a surgical procedure according to the biopsy results. There were no post procedure complications or mortality in our series. 73 of our biopsies (87%) were diagnostic. Conclusions: Fluoroscopic guided percutaneous vertebral biopsy is still an important diagnostic method for the accurate diagnosis and treatment of vertebral pathologic lesions. Its accuracy and low complication rate are similar to that of the CT guided biopsy technique.
Açıklama
Anahtar Kelimeler
Nörolojik Bilimler
Kaynak
Journal of Neurological Sciences (Turkish)
WoS Q Değeri
Scopus Q Değeri
Cilt
29
Sayı
2
