内镜超声引导下细针穿刺抽吸术在胰腺病变诊断中的作用
Role of Endoscopic Ultrasound Guided Fine Needle Aspiration in the Diagnosis of Pancreatic Lesions.
作者信息
Alam A T, Chowdhury A K, Das C R, Ahmed S U, Yousuf N A
机构信息
Professor Dr AHM Towhidul Alam, Professor, Department of Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh; E-mail:
出版信息
Mymensingh Med J. 2019 Apr;28(2):347-351.
To evaluate the diagnostic utility of endoscopic ultrasound guided fine needle aspiration (EUS-FNA) of pancreatic lesions, EUS-FNA was carried out on a total of 28 cases at the Department of Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh from June 2015 to August 2016. Clinical impression was compared with the final cytological diagnosis and the percentage of non diagnostic smears was calculated. The lesions were categorized according to cytological report. Out of 28 cases, 3(10.71%) cases were normal, 6 cases (21.43%) were reported as inconclusive while a definite diagnosis was given in 19 cases (67.85%). The mean patient age was 47.82 years. There were 16(57.1%) males and 12(42.9%) females. The most common site biopsied was pancreatic head in 21cases (75%) followed by tail in 5 cases (17.9%) & body in 2(7.1%) cases. The average number of passes made was two. Endoscopic Ultrasound Guided Fine-Needle Aspiration in the diagnosis of pancreatic lesion is a useful procedure.
为评估内镜超声引导下细针穿刺抽吸术（EUS-FNA）对胰腺病变的诊断效用，2015年6月至2016年8月期间，在孟加拉国达卡班加班德胡·谢赫·穆吉布医科大学（BSMMU）外科对总共28例患者进行了EUS-FNA。将临床诊断与最终细胞学诊断进行比较，并计算非诊断性涂片的百分比。根据细胞学报告对病变进行分类。28例病例中，3例（10.71%）为正常，6例（21.43%）报告为不确定，19例（67.85%）给出了明确诊断。患者平均年龄为47.82岁。男性16例（57.1%），女性12例（42.9%）。最常活检的部位是胰头，共21例（75%），其次是胰尾5例（17.9%）和胰体2例（7.1%）。平均穿刺次数为两次。内镜超声引导下细针穿刺抽吸术在胰腺病变诊断中是一种有用的方法。
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