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胰腺肿瘤的临床疑似诊断:超声引导下细针穿刺活检是否会改变患者的治疗方案?

Clinical suspicion of pancreatic neoplasm: does echo-guided fine-needle biopsy modify patient management?

作者信息

Rapaccini G L, Grattagliano A, Pompili M, Rabitti C, Anti M, Aliotta A, Amadei E, Cedrone A, Gambassi G

机构信息

Istituto di Clinica Medica, Università Cattolica del Sacro Cuore, Policlinico A. Gemelli, Largo Agostino Gemelli, Rome, Italy.

出版信息

Surg Endosc. 1990;4(4):206-8. doi: 10.1007/BF00316793.

DOI:10.1007/BF00316793
PMID:2291160
Abstract

The following parameters were retrospectively evaluated in 64 patients with suspected pancreatic neoplasm: (1) time required to obtain cytohistologic diagnosis, (2) days in hospital, (3) number and type of surgical operations, and (4) total hospital costs. Echo-guided fine needle biopsy (FNB) was performed on 34 patients (FNB group) and in a further 30 patients diagnostic workup did not include percutaneous biopsy (laparotomy group). Both diagnostic and hospital stay were shorter (8 and 7 days, respectively) in the FNB group than in the laparotomy group. In the FNB group, surgery was avoided in 18 patients, while in the laparotomy group 18 explorations proved diagnostic alone. Finally, FNB was shown to reduce hospital costs by 23%.

摘要

对64例疑似胰腺肿瘤患者的以下参数进行了回顾性评估:(1)获得细胞组织学诊断所需的时间;(2)住院天数;(3)外科手术的数量和类型;(4)总住院费用。对34例患者进行了超声引导下细针穿刺活检(FNB组),另外30例患者的诊断检查未包括经皮活检(剖腹手术组)。FNB组的诊断时间和住院时间均短于剖腹手术组(分别为8天和7天)。在FNB组中,18例患者避免了手术,而在剖腹手术组中,18次探查仅证明具有诊断意义。最后,结果显示FNB可使住院费用降低23%。

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Childhood abdominal tuberculosis. The role of echo-guided fine-needle aspiration in its management.儿童腹部结核。超声引导下细针穿刺抽吸在其治疗中的作用。
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本文引用的文献

1
Impact of fine-needle biopsy on management of patients with carcinoma of the pancreas.
AJR Am J Roentgenol. 1981 Dec;137(6):1119-21. doi: 10.2214/ajr.137.6.1119.
2
Aspiration biopsy in the context of the new Medicare fiscal policy.在新的医疗保险财政政策背景下的穿刺活检
Acta Cytol. 1984 May-Jun;28(3):333-6.
3
Comparative study of percutaneous and peroperative fine-needle aspirations in the diagnosis of pancreatic cancer.经皮和术中细针穿刺抽吸在胰腺癌诊断中的比较研究
Hepatogastroenterology. 1986 Apr;33(2):75-8.
4
Abdominal lesions: a prospective study of clinical efficacy of percutaneous fine-needle biopsy.腹部病变:经皮细针活检临床疗效的前瞻性研究
Radiology. 1986 May;159(2):345-6. doi: 10.1148/radiology.159.2.3515416.
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Cancer of the pancreas, international mortality trends.胰腺癌的国际死亡率趋势
World Health Stat Q. 1978;31(1):2-27.