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内镜超声引导下细针抽吸:如何获取核心活检?

Endoscopic ultrasound-guided fine needle aspiration: How to obtain a core biopsy?

机构信息

Gastroenterology Unit, Department of Medical and Surgical Sciences, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.

Digestive Endoscopy Unit, Catholic University, Rome, Italy.

出版信息

Endosc Ultrasound. 2014 Apr;3(2):71-81. doi: 10.4103/2303-9027.123011.

DOI:10.4103/2303-9027.123011
PMID:24955336
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4064165/
Abstract

Endoscopic ultrasound (EUS)-guided fine needle aspiration has emerged as the procedure of choice to obtain samples to reach a definitive diagnosis of lesions of the gastrointestinal tract and of adjacent organs. The obtainment of a tissue core biopsy presents several advantages that can substantially contribute to the widespread diffusion of EUS utilization in the community and in countries where cytology expertise may be difficult to be achieved. This article will review the EUS-guided fine needle biopsy techniques developed so far, the clinical results, their limitations as well as their future perspective.

摘要

内镜超声(EUS)引导下细针抽吸术已成为获得样本以明确诊断胃肠道和邻近器官病变的首选方法。获取组织芯活检具有多项优势,这将大大有助于 EUS 在社区和细胞学专业知识难以获得的国家中的广泛应用。本文将回顾迄今为止开发的 EUS 引导下细针活检技术、临床结果、其局限性以及未来展望。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65d3/4064165/371390358ca5/EUS-3-71-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65d3/4064165/29fd6e73eed8/EUS-3-71-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65d3/4064165/6dbb8dbd916c/EUS-3-71-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65d3/4064165/c18b6f1e19ba/EUS-3-71-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65d3/4064165/a4f45edf2b56/EUS-3-71-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65d3/4064165/88931428ec37/EUS-3-71-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65d3/4064165/371390358ca5/EUS-3-71-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65d3/4064165/29fd6e73eed8/EUS-3-71-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65d3/4064165/6dbb8dbd916c/EUS-3-71-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65d3/4064165/c18b6f1e19ba/EUS-3-71-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65d3/4064165/a4f45edf2b56/EUS-3-71-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65d3/4064165/88931428ec37/EUS-3-71-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65d3/4064165/371390358ca5/EUS-3-71-g008.jpg

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Endoscopy. 2014 Jan;46(1):39-45. doi: 10.1055/s-0033-1344895. Epub 2013 Nov 11.
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Histological adequacy of EUS-guided liver biopsy when using a 19-gauge non-Tru-Cut FNA needle.使用19号非Tru-Cut细针穿刺针进行超声内镜引导下肝活检的组织学充分性
Gastrointest Endosc. 2014 Jan;79(1):170-2. doi: 10.1016/j.gie.2013.06.031. Epub 2013 Jul 31.
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Endoscopic ultrasound-guided fine needle aspiration and biopsy using a 22-gauge needle with side fenestration in pancreatic cystic lesions.
Rotation aiding technique for endobronchial ultrasound-guided transbronchial needle aspiration biopsy of intrathoracic lymph nodes: A complementary approach to the conventional jabbing method.旋转辅助技术在支气管内超声引导经支气管针吸活检术(EBUS-TBNA)中的应用:对传统穿刺方法的补充。
Thorac Cancer. 2022 Jun;13(11):1712-1718. doi: 10.1111/1759-7714.14449. Epub 2022 May 2.
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Performance of EUS-FNB in solid pancreatic masses: a lesson from 463 consecutive procedures and a practical nomogram.超声内镜引导下细针穿刺活检术在胰腺实体肿块中的应用:463 例连续操作的经验教训及实用列线图。
Updates Surg. 2022 Jun;74(3):945-952. doi: 10.1007/s13304-021-01198-x. Epub 2021 Oct 29.
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Comparison of tissue and molecular yield between fine-needle biopsy (FNB) and fine-needle aspiration (FNA): a randomized study.细针活检(FNB)与细针穿刺抽吸(FNA)组织及分子产量的比较:一项随机研究。
Endosc Int Open. 2019 Aug;7(8):E955-E963. doi: 10.1055/a-0903-2565. Epub 2019 Jul 24.
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使用带侧孔的22号针在内镜超声引导下对胰腺囊性病变进行细针穿刺抽吸和活检。
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