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腹部器官细针穿刺活检:关于获取诊断性样本的当前建议综述

Fine needle aspiration of abdominal organs: a review of current recommendations for achieving a diagnostic sample.

作者信息

Liffman R, Courtman N

机构信息

Faculty of Veterinary Science, The University of Melbourne, 250 Princes Highway, Werribee, Victoria 3030, Australia.

出版信息

J Small Anim Pract. 2017 Nov;58(11):599-609. doi: 10.1111/jsap.12709. Epub 2017 Jul 26.

DOI:10.1111/jsap.12709
PMID:28746730
Abstract

With the improved accessibility to ultrasound, fine needle aspiration of abdominal organs is now performed frequently in many veterinary practices. Despite this, there are many 'unknowns' as to the best method to produce a high-quality sample. This report begins by highlighting recent literature on the risks and benefits of abdominal fine needle aspiration. It follows with recommendations about the equipment and method best suited to the procedure, including needle and syringe size and aspiration versus non-aspiration techniques. Various smear preparations and laboratory submission requirements are also discussed. The final aspect of the review more specifically discusses fine needle aspiration of specific abdominal organs: the liver, kidney, spleen, pancreas, urinary bladder, prostate and abdominal lymph nodes.

摘要

随着超声检查的普及,现在许多兽医诊所经常对腹部器官进行细针穿刺。尽管如此,关于获取高质量样本的最佳方法仍存在许多“未知因素”。本报告首先强调了近期有关腹部细针穿刺风险和益处的文献。接着给出了关于最适合该操作的设备和方法的建议,包括针头和注射器的尺寸以及抽吸与非抽吸技术。还讨论了各种涂片制备方法和实验室送检要求。综述的最后一部分更具体地讨论了特定腹部器官的细针穿刺:肝脏、肾脏、脾脏、胰腺、膀胱、前列腺和腹部淋巴结。

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