Application value of ultrasound guided percutaneous biopsy in the diagnosis of hip joint tuberculosis

doi:10.19982/j.issn.1000-6621.20230101

Abstract

Abstract:

Objective: To investigate the application value of ultrasound guided percutaneous biopsy in the diagnosis of hip joint tuberculosis. Methods: Forty-five patients with hip joint tuberculosis admitted to the Eighth Medical Centre of General Hospital of PLA from December 2012 to December 2022, were collected. Their hip ultrasound examination imaging data and ultrasound guided hip biopsy results were analyzed, and the ultrasound imaging characteristics of hip tuberculosis were summarized. The diagnostic rate of ultrasound guided puncture biopsy for hip joint tuberculosis and the impact of different ultrasound manifestations on the diagnostic rate of puncture biopsy for hip joint tuberculosis were analyzed. Results: Depending on the progression of the lesion, ultrasound manifestations of tuberculosis of hip joint can be divided into three categories. There were 10 patients of type Ⅰ, characterized by swollen synovial membrane or joint cavity accumulation, 22 patients of type Ⅱ, characterized by bone destruction on the joint surface and unevenness, and 13 patients of type Ⅲ, characterized by joint structure destruction and fusion into mixed echogenic masses. The success rate of ultrasound-guided puncture biopsy was 97.8% (44/45), and the overall diagnostic rate of puncture biopsy was 66.7% (30/45). Diagnostic rates of type Ⅰ, type Ⅱ and type Ⅲ were 30.0% (3/10), 72.7% (16/22) and 84.6% (11/13), respectively. Diagnostic rate of type Ⅰ was significantly lower than those of type Ⅱ and type Ⅲ (χ²=5.203, P=0.049; χ²=7.078, P=0.013). Conclusion: Conventional ultrasound can demonstrate the pathological morphologic change of hip joint tuberculosis and ultrasound guide biopsy has important value in the diagnosis of tuberculosis hip joint.

Key words: Ultrasonography, Punctures, Hip joint, Tuberculosis, Diagnosis

CLC Number:

R521
R81

Cao Bingsheng, Zhang Gengchen, Fu Liyuan, Wang Jinshan. Application value of ultrasound guided percutaneous biopsy in the diagnosis of hip joint tuberculosis[J]. Chinese Journal of Antituberculosis, 2023, 45(7): 669-672. doi: 10.19982/j.issn.1000-6621.20230101

Figures/Tables 2

References 12

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