内分泌
词汇介绍
拓展阅读
解析
fine 英 /faɪn/
释 义 adj. 优质的；令人满意的；健康的；天气晴朗的
adv.（非正式）令人满意地；在三柱门后面；（切得）细小地
n. 罚金；优质法国白兰地酒；上等白兰地酒；（音乐指挥用语）终止
v. 处……以罚金；澄清；（液体）变纯，变清；（使）变细，变瘦
同根词 finable adj. 应罚款的；可提炼的；可精制的
finely adv. 非常地；细微地；美好地；雅致地
fineness n. 美好；纯度；细微；优雅
例 句 If you keep on working hard like this, you will do fine in any other company. 如果你继续这样努力工作，你在任何别的公司都能干得很好。
needle 英 /'niːd(ə)l/ 美 /'nidl/
释 义 n. 针；指针；刺激；针状物
vi. 缝纫；做针线
vt. 刺激；用针缝
同根词 needled adj. 针刺的
needled v. 用针缝；穿行（needle的过去分词）
例 句 They inserted the microchip through a needle. 他们插入该芯片通过一个针。
biopsy 英 /'baɪɒpsɪ/ 美 /'baɪɑpsi/
释 义 n. 活组织检查；活组织切片检查；切片检查法
例 句 If this is the case, you may need to have a cone biopsy. 如果是这样的情况下，您可能需要有一个锥活检。
概述
概述
细针穿刺是一种活组织检查技术。在细针抽吸中，将细针插入异常出现的组织或体液区域。与其他类型的活组织检查一样，在细针抽吸过程中收集的样本可以帮助诊断或排除癌症等疾病。细针穿刺通常被认为是安全的技术，并发症很少发生。
适应症
囊肿（充满液体的肿块）；结节或肿块（实心肿块）；淋巴结肿大。
注意事项
在活检前几天停止服用抗凝药物，如华法林（香豆素）或阿司匹林。在手术前不要进食或饮水。在某些情况下，在针吸活检前接受静脉注射（IV）镇静剂或全身麻醉剂。如果是这种情况，在手术前一天禁食。
并发症
细针穿刺后严重的并发症很少见。可能发生活检部位皮肤下的轻微出血。这可能导致肿胀，肿胀的区域称为血肿。活组织检查部位的感染很少见，因为所有细针穿刺均使用无菌技术和设备。内窥镜检查中细针穿刺并发症的风险略高，但对大多数人来说，它仍然很低。
复制标题使用22g细针活检针的内镜超声引导下肝活检: 一项前瞻性研究
发表时间：2019-07-31
影响指数：6.4
作者： Muhammad K Hasan
期刊：Endoscopy
In recent years, “same session” EUS-guided liver biopsy (EUS-LB) has gained traction amongst endosonographers and may offer several potential advantages over existing techniques for liver tissue acquisition. With a histologic diagnosis rate of 93.9 % and adverse events rate of 2.3 %, EUS-LB appears to be a safe and viable alternative. However, despite the advantages it may offer over traditional methods of liver biopsy, concerns regarding tissue fragmentation, tissue adequacy, and bleeding risk continue to hamper the widespread adoption of EUS-LB in clinical practice. EUS-LB is a technically reproducible approach regardless of body habitus, because the needle needs only to traverse the gastric or duodenal wall to reach the hepatic parenchyma. The procedure is performed in an outpatient setting and provides the comfort of sedation and analgesia. The EUS provides high resolution images of the left lobe of the liver along with a sizable portion of the right lobe of the liver. This, coupled with the capability of Doppler imaging, allows the biopsy needle to be safely directed into the liver for sampling under real-time image guidance. It has been recognized that sampling error can lead to diagnostic inaccuracy of a biopsy from a single site. In comparison with ultrasound or computed tomography (CT) scans, EUS allows an easy and safe biopsy of both left and right lobes of the liver in the same setting, while potentially addressing concerns about sampling error. Also the main expense of the EUS-LB is the endoscopic procedure, along with the cost of the fine-needle biopsy (FNB) needle which is not different in expense to the cost of the needle for either percutaneous or transjugular approaches. Thus, this approach may be best utilized for patients requiring EUS for evaluation of elevated liver function test findings. If no obstructive lesion that would require endoscopic retrograde cholangiopancreatography (ERCP) is identified, then EUS-LB can be performed in the same session.
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