Yasuda Ichiro, Iwashita Takuji, Doi Shinpei
First Department of Internal Medicine, Gifu University Hospital, 1-1 Yanagido, Gifu, 501-1194, Japan.
J Hepatobiliary Pancreat Sci. 2014 May;21(5):E29-33. doi: 10.1002/jhbp.60. Epub 2013 Dec 18.
Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is a well-established procedure for diagnosis of pancreatic solid masses. This technique is highly accurate and safe and can be performed uneventfully in most cases. However, factors such as unstable scope position, inappropriate location of the lesion, lesion mobility, and lesion characteristics may complicate the procedure. To overcome such difficulties, it is necessary to select the most suitable needle and consider several technical points according to each situation. We introduce our standard technique for EUS-FNA and provide several tips for ensuring a successful procedure.
内镜超声引导下细针穿刺抽吸术（EUS-FNA）是诊断胰腺实性肿块的一项成熟技术。该技术高度准确且安全，在大多数情况下都能顺利进行。然而，诸如内镜位置不稳定、病变位置不当、病变活动度以及病变特征等因素可能会使该操作变得复杂。为克服这些困难，有必要选择最合适的穿刺针，并根据具体情况考虑几个技术要点。我们介绍了我们的EUS-FNA标准技术，并提供了一些确保操作成功的技巧。
