PMID- 12133469
OWN - NLM
STAT- MEDLINE
DCOM- 20021023
LR  - 20191210
IS  - 0376-2491 (Print)
IS  - 0376-2491 (Linking)
VI  - 82
IP  - 10
DP  - 2002 May 25
TI  - [CT-guided percutaneous needle biopsy and intra-articular injection of sacroiliac 
      joint].
PG  - 692-5
AB  - OBJECTIVE: To investigate the clinical value of CT-guided percutaneous needle 
      biopsy and intra-articular injection of sacroiliac joint. METHODS: CT-guided 
      percutaneous puncture was conducted to the bilateral sacroiliac joints of 3 
      specimens of adult pelvis, 18 patients with ankylosing spondylitis (AS), and 10 
      patients with undifferentiated spondyloarthropathy (uSpA) suspected as early AS 
      clinically. All 28 patients had taken non-steroidal anti-inflammatory agents 
      without adequate control of symptoms or with serious side effects. Biopsy of 
      synovium with 16G or 18G needles and intra-articular injection of steroid were 
      made to the 28 patients. RESULTS: The general success rate of puncture was 4/6 
      among the specimens of pelvis and was 96.4% (54/56) among the 28 patients. The 
      level of needle insertion was 1.69 cm +/- 0.63 cm up the lower edge of the joint. 
      The obtainment rate of biopsy specimen was 88.5% (46/54) for the cases punctured 
      successfully. The positive rate of pathological examination was 91.7% (22/24). 
      Marked inflammatory changes were found in the biopsy specimens from AS patients 
      and early inflammatory changes were found in the biopsy specimens from uSpA 
      patients. The immediate effective rate of intra-articular steroid injection was 
      78.6% (22/28). No complication and side effect was found. CONCLUSION: CT-guided 
      percutaneous puncture is an effective and safe guided method for biopsy and 
      intra-articular injection of sacroiliac joint. The proper level of puncture is by 
      the juncture of the middle 1/3 and lower 1/3 of sacroiliac joint. Needle biopsy 
      helps early diagnosis of AS for patients with uSpA. Intra-articular injection is 
      an effective supplementary therapy for AS and uSpA patients.
FAU - Liu, Yuan
AU  - Liu Y
AD  - Department of Radiology, First Hospital, Shantou University Medical School, 
      Shantou 515041, China.
FAU - Wang, Qingwen
AU  - Wang Q
FAU - Xiao, Zhuangwei
AU  - Xiao Z
FAU - Chen, Subiao
AU  - Chen S
FAU - Zeng, Qingyu
AU  - Zeng Q
LA  - chi
PT  - Evaluation Study
PT  - Journal Article
PL  - China
TA  - Zhonghua Yi Xue Za Zhi
JT  - Zhonghua yi xue za zhi
JID - 7511141
SB  - IM
MH  - Adult
MH  - Biopsy, Needle/*methods
MH  - Female
MH  - Humans
MH  - Injections, Intra-Articular
MH  - Male
MH  - Radiology, Interventional
MH  - Sacroiliac Joint/*pathology
MH  - Spondylitis, Ankylosing/*pathology/therapy
MH  - *Tomography, X-Ray Computed
EDAT- 2002/07/23 10:00
MHDA- 2002/10/31 04:00
CRDT- 2002/07/23 10:00
PHST- 2002/07/23 10:00 [pubmed]
PHST- 2002/10/31 04:00 [medline]
PHST- 2002/07/23 10:00 [entrez]
PST - ppublish
SO  - Zhonghua Yi Xue Za Zhi. 2002 May 25;82(10):692-5.