PERCUTANEOUS MUSCLE BIOPSY IN THE DIAGNOSIS OF NEUROMUSCULAR DISEASE

被引:15
作者
MUBARAK, SJ [1 ]
CHAMBERS, HG [1 ]
WENGER, DR [1 ]
机构
[1] CHILDRENS HOSP & HLTH CTR,DEPT ORTHOPAED RES,SAN DIEGO,CA
关键词
OPEN BIOPSY OF MUSCLE; PERCUTANEOUS MUSCLE BIOPSY;
D O I
10.1097/01241398-199203000-00009
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Open biopsy of affected muscle is traditionally used to obtain tissue samples for histologic, histochemical, and biochemical analysis in patients with suspected myopathies. Percutaneous muscle biopsy offers certain advantages over the open technique: it can be performed in an outpatient clinic or as day surgery, usually with a local anesthetic for children > 12 years of age, and thus is less costly, more efficient, and less risky. There is also a significant difference in the residual scar. We reviewed the charts of 379 children and adults who had undergone percutaneous muscle biopsy to determine the usefulness of this alternative technique. The analysis could be accurately performed even, though the muscle tissue was not at resting length and not oriented in any particular manner, and in nearly all patients sufficient tissue could be obtained for analysis without open biopsy.
引用
收藏
页码:191 / 196
页数:6
相关论文
共 23 条
[1]  
Bergstrom J., Muscle electrolytes in man: Determination by neutron activation analysis in needle biopsy specimens: A study in normal subjects, kidney patients, and patients with chronic diarrhoea, Scand J Clin Lab Invest, 14, pp. 1-110, (1962)
[2]  
Bergstrom J., Percutaneous needle biopsy of skeletal muscle in physiological and clinical research, Scan J Clin Lab Invest, 35, pp. 609-616, (1975)
[3]  
Blomstrand E., Ekblom B., The needle biopsy technique for fiber type determination in human skeletal muscle—a methodological study, Acta Phylol Scand, 116, pp. 437-442, (1982)
[4]  
Charriere M., Duchenne G.B., Emporte piece histologique, Bull Acad Natl Med (Paris), 30, pp. 1050-1051, (1865)
[5]  
Curies R.G., Nelson M.B., Needle biopsies of muscle in infants for diagnosis and research, Dev Med Child Neurol, 17, pp. 592-601, (1975)
[6]  
Diliberti J.H., D'Agnostino A.N., Cole G., Needle muscle biopsy in infants and children, J Pediatr, 103, pp. 566-570, (1983)
[7]  
Dubowitz V., Muscle Biopsy: A Practical Approach, (1985)
[8]  
Dubowitz W., Muscle Disorders in Childhood, pp. 177-182, (1989)
[9]  
Edwards R., Percutaneous needle biopsy of skeletal muscle in diagnosis and research, Lancet, 1, 2, pp. 593-595, (1971)
[10]  
Edwards R., Lewis P.D., Maunder C., Pearse A., Percutaneous needle biopsy in the diagnosis of muscle diseases, Lancet, 3, pp. 1070-1071, (1973)