Holt Bronte A, Varadarajulu Shyam, Hébert-Magee Shantel
Center for Interventional Endoscopy, Florida Hospital, 601 East Rollins Street, Orlando, FL, 32804, USA.
Adv Ther. 2014 Jul;31(7):696-707. doi: 10.1007/s12325-014-0129-5. Epub 2014 Jun 24.
Endoscopic ultrasound-guided fine needle aspiration is a multistep procedure that involves proper clinical indication, correct selection of needles, adapting evidence-based techniques such as the fanning maneuver and not routinely using suction or the stylet for tissue sampling, and establishing reliable cytopathology support. Integrating cytopathology in the training curriculum and developing a more flexible platform of needles and echoendoscopes are likely to further advance the field of endosonography. This review aims to summarize the technical issues that are key to performing high-quality endoscopic ultrasound-guided fine needle aspiration.
内镜超声引导下细针穿刺抽吸是一个多步骤的操作过程，包括恰当的临床指征、正确选择穿刺针、采用循证技术（如扇形扫查手法）且不常规使用负压吸引或针芯进行组织采样，以及建立可靠的细胞病理学支持。将细胞病理学纳入培训课程，并开发更灵活的穿刺针和超声内镜平台，可能会进一步推动超声内镜领域的发展。本综述旨在总结高质量内镜超声引导下细针穿刺抽吸操作的关键技术问题。
