Mohan Babu P, Shakhatreh Mohammed, Garg Rajat, Asokkumar Ravishankar, Jayaraj Mahendran, Ponnada Suresh, Navaneethan Udayakumar, Adler Douglas G
University of Arizona, Banner University Medical Center, Tucson, Arizona, USA.
Rapides Regional Medical Center, Alexandria, Louisiana, USA.
Endosc Ultrasound. 2019 Nov-Dec;8(6):382-391. doi: 10.4103/eus.eus_27_19.
Franseen-tip and Fork-tip needles have been widely used in EUS guided fine-needle biopsy (FNB) of solid organs. There is conflicting data on the performance of these needles and unanswered questions on the ideal number of needle-passes and the requirement of an onsite cytopathologist (ROSE). We conducted a comprehensive search of multiple electronic databases and conference proceedings including PubMed, EMBASE, and Web of Science databases (from inception through July 2018) to identify studies that reported on the use of Forktip and Franseen-tip needles in EUS-FNB of solid organs. The primary outcome was to estimate and compare the pooled rates of diagnostic-yield. A subgroup analysis compared the outcomes based on the number of needle-passes and the availability of ROSE. A total of 23 study-arms were available for analysis. The pooled rate of diagnostic yield with Fork-tip needle was 92.8% (95% CI 85.3 - 96.6, I = 73.1) and the pooled rate of diagnostic yield with Franseen-tip needle was 92.7% (95% CI 86.4 - 96.2, I = 88.4).
Franseen头针和叉头针已广泛用于超声内镜引导下实体器官细针穿刺活检（FNB）。关于这些针的性能存在相互矛盾的数据，关于理想的穿刺针数和现场细胞病理学家（ROSE）的要求也存在未解决的问题。我们对多个电子数据库和会议论文集进行了全面检索，包括PubMed、EMBASE和Web of Science数据库（从创建到2018年7月），以识别报告在实体器官超声内镜引导下细针穿刺活检中使用叉头针和 Franseen头针的研究。主要结果是估计和比较汇总的诊断率。亚组分析根据穿刺针数和ROSE的可用性比较结果。共有23个研究组可供分析。叉头针的汇总诊断率为92.8%（95%CI 85.3 - 96.6，I = 73.1）， Franseen头针的汇总诊断率为92.7%（95%CI 86.4 - 96.2，I = 88.4）。
Zotero 插件
