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内镜超声引导下细针抽吸培训。

Training in endoscopic ultrasound-guided fine needle aspiration.

机构信息

Department of Medicine, Division of Gastroenterology, Centre Hospitalier de l'Université de Montréal, St-Luc Hospital, Quebec H2X 3J4, Canada.

出版信息

Endosc Ultrasound. 2014 Jan;3(1):12-6. doi: 10.4103/2303-9027.127123.

DOI:10.4103/2303-9027.127123
PMID:24949405
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4063269/
Abstract

Like any other technique, fine needle aspiration (FNA) proficiency requires adequate experience. Although this technique is not difficult to master, formal training will allow endosonographers to achieve better results. The following article is derived in two parts: (1) To review current knowledge on endoscopic ultrasound (EUS)-FNA training, discuss the current recommendations on training guidelines, explore other training adjuncts and review the latest studies evaluating the validity of current recommendations; and (2) to provide some basic grounds on the EUS-FNA technique. EUS-FNA can be broken down into a series of steps. Proper execution of each step will make FNA easier and likely increase its diagnostic yield. Adequate positioning of the lesion in regards to the ultrasound probe is a key factor to obtain best results. The following will discuss useful tips in order to achieve maximal success rates.

摘要

与其他任何技术一样,细针穿刺(FNA)技术需要足够的经验。虽然这种技术并不难掌握,但正规的培训将使超声内镜医师取得更好的结果。以下文章分为两部分:(1)复习内镜超声(EUS)-FNA 培训的现有知识,讨论培训指南的现行建议,探索其他培训辅助手段,并审查评估现行建议有效性的最新研究;(2)提供有关 EUS-FNA 技术的一些基本依据。EUS-FNA 可以分为一系列步骤。正确执行每一步骤将使 FNA 变得更加容易,并可能提高其诊断率。将病变适当地定位在超声探头是获得最佳结果的关键因素。下面将讨论一些有用的技巧,以达到最高的成功率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf5b/4063269/84cf577a8c13/EUS-3-12-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf5b/4063269/e6c8fa1951ee/EUS-3-12-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf5b/4063269/fe3092334530/EUS-3-12-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf5b/4063269/6fc676392f4e/EUS-3-12-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf5b/4063269/84cf577a8c13/EUS-3-12-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf5b/4063269/e6c8fa1951ee/EUS-3-12-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf5b/4063269/fe3092334530/EUS-3-12-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf5b/4063269/6fc676392f4e/EUS-3-12-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf5b/4063269/84cf577a8c13/EUS-3-12-g004.jpg

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本文引用的文献

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Competency in EUS: is it the curriculum, test, trainer, or trainee?超声内镜检查能力:是课程设置、考试、培训师还是学员的问题?
Gastrointest Endosc. 2013 Apr;77(4):566-7. doi: 10.1016/j.gie.2012.11.043.
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Endoscopic ultrasound-guided fine needle aspiration training: evaluation of a new porcine lymphadenopathy model for in vivo hands-on teaching and training, and review of the literature.
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BMC Gastroenterol. 2022 Aug 8;22(1):376. doi: 10.1186/s12876-022-02452-1.
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Training to use EUS-FNA : It is time to give up the human hands-on approach?超声内镜引导下细针穿刺活检的培训:是时候放弃人工操作方法了吗?
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Credentialing for endoscopic ultrasound: A proposal for Canadian guidelines.内镜超声检查的资质认证:加拿大指南提案。
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