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Date Published: 18/07/2023
Abstract Views: 105
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DOI: https://doi.org/10.51298/vmj.v528i1.5966
Issue
Vol. 528 No. 1 (2023)
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Các bài báo
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Hoàng , Đình Âu, & Vương, T. H. (2023). ANALYSE OF SOME CASES OF TUBERCULOUS ARTHRITIS DIAGNOSED BY ULTRASOUND-GUIDED SYNOVIAL BIOPSY. Vietnam Medical Journal, 528(1). https://doi.org/10.51298/vmj.v528i1.5966

ANALYSE OF SOME CASES OF TUBERCULOUS ARTHRITIS DIAGNOSED BY ULTRASOUND-GUIDED SYNOVIAL BIOPSY

Đình Âu Hoàng 1,, Thu Hà Vương1
1 Hanoi Medical University Hospital

Main Article Content

Abstract

Purposes: To analyse some cases of tuberculous arthritis diagnosed by ultrasound guided synovial biopsy. Matherial and Method: Described reviews clinical characteristics, imaging, laboratory tests and biopsy results of 07 cases of tuberculous arthritis with ultrasound guided synovial biopsy. Biopsy specimens will be analyzed histopathologically and tested for PCR tuberculosis. Results: From September 2020 to October 2022, there were 7 patients with tuberculous arthritis diagnosed by ultrasound guided synovial biopsy at Hanoi Medical University Hospital. Among them, there were 01 shoulder, 1 elbow, 1 wrist, 2 hip and 2 ankle joints. The average age of the patients was 60±15.5, the highest was 75 years old, the lowest was 35 years old. There are 5 female patients and 2 male patients. Patients pain scale when biopsy (VAS) from 2-4, no complications occurred. Number of biopsy samples from 5 to 8 samples/patient, biopsy time from 10 to 25 minutes. Biopsy analysis results showed that all samples had negative bacterial cultures. There were 6 patients positive on histopathological analysis, 4 patients positive for TB PCR. Conclusion: ultrasound guided synovial biopsy should indicate for the diagnosis of tuberculous arthritis when laboratory examination and imaging were not typical. This is a safe procedure, acceptable to the patient. Histopathological analysis of specimens has high value in the diagnosis of tuberculous arthritis.

Article Details

Keywords

ultrasound-guided synovial biopsy, tuberculous arthritis, synovial joint.

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