ROLE OF ULTRASOUND-GUIDED SYNOVIAL BIOSY IN DIAGNOSIS OF SEVERAL COMMON ARTHROPATHIES

Thu Hà Vương1,, Văn Lệnh Bùi 2,3, Tuấn Linh Lê 2,3, Tiến Lưu Đoàn 1,3, Thị Bích Nguyệt Đặng 2, Xuân Thành Phạm 1
1 Hanoi medical unviersity hospital
2 Hanoi medical university hospital
3 Hanoi medical university

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Abstract

To evaluate the safety and effectiveness of ultrasound-guided synovial biopsy in diagnosing of some common joint diseases in 49 patients from November 2019 to May 2022. A cross-sectional descriptive study was applied. Results show synovial biopsy is an easy procedure to perform in most patients, in which 91.8% of patients feel no or little pain during the procedure. Synovial biopsy is also a procedure with high safety, few complications, the rate of bleeding complications at the needle puncture site is 4 cases (equivalent to 8.2%), the rate of intra-articular bleeding 2%, while serious complications such as puncture site infection, joint infection, neurological and vascular complications did not occur. The technique was successfully performed in 98% of the patients. The synovial membrane biopsy specimens were taken for histopathology, bacterial cultures and PCR for tuberculosis, the results of these tests allow the diagnosis to be confirmed in 65,3% of cases and the concordance between synovial biopsy results with the final diagnosis was 98%.

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References

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