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超声引导下床边粗针活检:一个医院医师手术团队的经验

Ultrasound-guided Bedside Core Needle Biopsy: A Hospitalist Procedure Team's Experience.

作者信息

Patel Sanjay A, Pierko Krzysztof, Franco-Sadud Ricardo

机构信息

Internal Medicine, John H. Stroger, Jr. Hospital of Cook County, Chicago, USA.

Internal Medicine, NCH Healthcare System, Naples, USA.

出版信息

Cureus. 2019 Jan 3;11(1):e3817. doi: 10.7759/cureus.3817.

DOI:10.7759/cureus.3817
PMID:30868031
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6402864/
Abstract

Tissue pathology is integral for the diagnosis of various conditions, especially malignancy. Traditionally, biopsy procedures, including core needle biopsy (CNB), are performed by surgeons or radiologists. With the increasing utilization of point of care ultrasound (POCUS) skills and competence in bedside procedures by general internists, CNB can be safely moved to the patient's bedside with maintained accuracy and increased cost savings compared to traditional procedural methods. We aim to review the experience of our hospitalist-run medical procedure service in performing these ultrasound-guided procedures at the bedside.

摘要

组织病理学对于各种病症的诊断至关重要,尤其是恶性肿瘤的诊断。传统上,活检程序,包括粗针活检(CNB),由外科医生或放射科医生进行。随着普通内科医生在床边程序中对床旁超声(POCUS)技能和能力的使用增加,与传统程序方法相比,CNB可以安全地转移到患者床边,同时保持准确性并节省成本。我们旨在回顾我院内科医生主导的医疗程序服务在床边进行这些超声引导程序的经验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef0f/6402864/8715f0c5b40e/cureus-0011-00000003817-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef0f/6402864/8715f0c5b40e/cureus-0011-00000003817-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef0f/6402864/8715f0c5b40e/cureus-0011-00000003817-i01.jpg

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本文引用的文献

1
Credentialing of Hospitalists in Ultrasound-Guided Bedside Procedures: A Position Statement of the Society of Hospital Medicine.医院医生在超声引导下床边操作的资质认证:医院医学协会的立场声明
J Hosp Med. 2018 Feb 1;13(2):117-125. doi: 10.12788/jhm.2917. Epub 2018 Jan 18.
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Certification of Point-of-Care Ultrasound Competency.床旁超声能力认证。
J Hosp Med. 2017 Sep;12(9):775-776. doi: 10.12788/jhm.2812.
3
Point-of-Care Ultrasonography for Primary Care Physicians and General Internists.面向基层医疗医生和普通内科医生的床旁超声检查
Mayo Clin Proc. 2016 Dec;91(12):1811-1827. doi: 10.1016/j.mayocp.2016.08.023. Epub 2016 Nov 5.
4
Clinical application of ultrasound-guided core needle biopsy with multiple punches in the diagnosis of lymphoma.超声引导下多点粗针穿刺活检在淋巴瘤诊断中的临床应用
World J Surg Oncol. 2015 Mar 27;13:126. doi: 10.1186/s12957-015-0537-2.
5
Diagnostic point-of-care ultrasound for hospitalists.面向住院医师的即时诊断超声检查
J Hosp Med. 2015 Feb;10(2):120-4. doi: 10.1002/jhm.2285. Epub 2014 Nov 19.
6
Safety and tissue yield for percutaneous native kidney biopsy according to practitioner and ultrasound technique.根据术者和超声技术行经皮肾穿刺活检的安全性和组织获取量。
BMC Nephrol. 2014 Jun 23;15:96. doi: 10.1186/1471-2369-15-96.
7
Ultrasound Guided Core Biopsy versus Fine Needle Aspiration for Evaluation of Axillary Lymphadenopathy in Patients with Breast Cancer.超声引导下粗针活检与细针穿刺抽吸在评估乳腺癌患者腋窝淋巴结病中的应用比较
ISRN Oncol. 2014 Feb 4;2014:703160. doi: 10.1155/2014/703160. eCollection 2014.
8
Filling the void: defining invasive bedside procedural competency for internal medicine residents.填补空白:界定内科住院医师的侵入性床边操作能力
J Grad Med Educ. 2013 Dec;5(4):605-12. doi: 10.4300/JGME-D-13-00030.1.
9
Axillary lymph node biopsy in newly diagnosed invasive breast cancer: comparative accuracy of fine-needle aspiration biopsy versus core-needle biopsy.新诊断浸润性乳腺癌腋窝淋巴结活检:细针抽吸活检与核心针活检的比较准确性。
Radiology. 2013 Oct;269(1):54-60. doi: 10.1148/radiol.13122637. Epub 2013 Jun 14.
10
Patient satisfaction with a hospitalist procedure service: is bedside procedure teaching reassuring to patients?患者对医院内科医生服务流程的满意度:床边操作教学能让患者安心吗?
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