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超声引导下活检:总体原则

US-Guided Biopsies: Overarching Principles.

作者信息

Meric De Bellefon Laurent, Lazarou Ilias

机构信息

Cliniques Universitaires Saint-Luc, Brussels, Belgium.

CHU Saint-Pierre, Brussels, Belgium.

出版信息

Front Med (Lausanne). 2019 Jan 22;6:1. doi: 10.3389/fmed.2019.00001. eCollection 2019.

DOI:10.3389/fmed.2019.00001
PMID:30723716
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6349745/
Abstract

Gathering synovial tissue from any swollen joint especially in early arthritis patients is critical for good quality research and to obtain further insight into the pathophysiology of inflammatory joint diseases. Multiplying biopsy sites is a challenge in terms of the techniques needed for each different joint but also in terms of safety and tolerability. It is important to provide the best care especially in very early arthritis patients who have only had the disease for a few months. This review discusses the minimal requirements applying to antiseptic techniques for the operator's hands, patient preparation, local anesthesia, and post-procedure care.

摘要

从任何肿胀关节采集滑膜组织,特别是在早期关节炎患者中,对于高质量研究以及深入了解炎性关节疾病的病理生理学至关重要。增加活检部位在每个不同关节所需的技术方面以及安全性和耐受性方面都是一项挑战。尤其对于患病仅几个月的极早期关节炎患者,提供最佳护理非常重要。本综述讨论了适用于术者手部消毒技术、患者准备、局部麻醉和术后护理的最低要求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/548e/6349745/cf55ad873a75/fmed-06-00001-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/548e/6349745/474eccd80487/fmed-06-00001-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/548e/6349745/cf55ad873a75/fmed-06-00001-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/548e/6349745/474eccd80487/fmed-06-00001-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/548e/6349745/cf55ad873a75/fmed-06-00001-g0002.jpg

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1
US-Guided Biopsies: Overarching Principles.超声引导下活检:总体原则
Front Med (Lausanne). 2019 Jan 22;6:1. doi: 10.3389/fmed.2019.00001. eCollection 2019.
2
Ultrasound-guided synovial biopsy: a safe, well-tolerated and reliable technique for obtaining high-quality synovial tissue from both large and small joints in early arthritis patients.超声引导下滑膜活检:一种安全、耐受良好且可靠的技术,可从小关节到大关节获取早期关节炎患者的高质量滑膜组织。
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3
A Multicenter Retrospective Analysis Evaluating Performance of Synovial Biopsy Techniques in Patients With Inflammatory Arthritis: Arthroscopic Versus Ultrasound-Guided Versus Blind Needle Biopsy.一项多中心回顾性分析评估了在炎性关节炎患者中滑膜活检技术的表现:关节镜下活检、超声引导下活检与盲式针刺活检。
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引用本文的文献

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Front Immunol. 2024 Jan 11;14:1298583. doi: 10.3389/fimmu.2023.1298583. eCollection 2023.
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Comment on the safety of the ultrasound-guided hydrodissection technique for carpal tunnel syndrome.关于超声引导下腕管综合征水分离技术安全性的评论。
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本文引用的文献

1
Patient-reported outcomes and safety in patients undergoing synovial biopsy: comparison of ultrasound-guided needle biopsy, ultrasound-guided portal and forceps and arthroscopic-guided synovial biopsy techniques in five centres across Europe.接受滑膜活检患者的患者报告结局和安全性:欧洲五个中心超声引导下针吸活检、超声引导下经皮穿刺钳取活检与关节镜引导下滑膜活检技术的比较
RMD Open. 2018 Oct 26;4(2):e000799. doi: 10.1136/rmdopen-2018-000799. eCollection 2018.
2
Single-dose local anesthetics exhibit a type-, dose-, and time-dependent chondrotoxic effect on chondrocytes and cartilage: a systematic review of the current literature.单次剂量局部麻醉药对软骨细胞和软骨具有类型、剂量和时间依赖性的软骨毒性作用:对当前文献的系统评价。
Knee Surg Sports Traumatol Arthrosc. 2018 Mar;26(3):819-830. doi: 10.1007/s00167-017-4470-5. Epub 2017 Mar 13.
3
[Septic arthritis after intra-articular injection is rare: does the Taskforce Infection Prevention use a sledgehammer to crack a nut?].[关节内注射后发生的化脓性关节炎很罕见:感染预防工作组是否在用大锤砸坚果(小题大做)?]
Ned Tijdschr Geneeskd. 2016;160:D789.
4
Articular cartilage and local anaesthetic: A systematic review of the current literature.关节软骨与局部麻醉剂:当前文献的系统评价
J Orthop. 2015 Oct 31;12(Suppl 2):S200-10. doi: 10.1016/j.jor.2015.10.005. eCollection 2015 Dec.
5
Intra-articular administration of lidocaine plus adrenaline in dogs: Pharmacokinetic profile and evaluation of toxicity in vivo and in vitro.利多卡因加肾上腺素在犬关节腔内给药:药代动力学特征及体内外毒性评估
Vet J. 2016 Feb;208:70-5. doi: 10.1016/j.tvjl.2015.09.004. Epub 2015 Sep 9.
6
Ultrasound-guided synovial biopsy: a systematic review according to the OMERACT filter and recommendations for minimal reporting standards in clinical studies.超声引导下的滑膜活检:根据OMERACT标准进行的系统评价及临床研究最低报告标准建议
Rheumatology (Oxford). 2015 Oct;54(10):1867-75. doi: 10.1093/rheumatology/kev128. Epub 2015 May 28.
7
Ultrasound-guided synovial biopsy: a safe, well-tolerated and reliable technique for obtaining high-quality synovial tissue from both large and small joints in early arthritis patients.超声引导下滑膜活检:一种安全、耐受良好且可靠的技术,可从小关节到大关节获取早期关节炎患者的高质量滑膜组织。
Ann Rheum Dis. 2015 Mar;74(3):611-7. doi: 10.1136/annrheumdis-2013-204603. Epub 2013 Dec 13.
8
Local anesthetics as antimicrobial agents: a review.局部麻醉药作为抗菌剂:综述
Surg Infect (Larchmt). 2008 Apr;9(2):205-13. doi: 10.1089/sur.2007.036.
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Chondrolysis after continuous intra-articular bupivacaine infusion: an experimental model investigating chondrotoxicity in the rabbit shoulder.连续关节腔内注射布比卡因后的关节溶解:一项研究兔肩关节软骨毒性的实验模型
Arthroscopy. 2006 Aug;22(8):813-9. doi: 10.1016/j.arthro.2006.06.006.
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Ultrasound guided synovial biopsy using portal and forceps.超声引导下经皮穿刺滑膜活检术(使用穿刺通道和活检钳)
Ann Rheum Dis. 2005 Jun;64(6):926-9. doi: 10.1136/ard.2004.027409. Epub 2004 Nov 18.