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首页 > 医学词汇大全 > Fine needle biopsy
Fine needle biopsy

内分泌

关键词内分泌 诊断技术 活检技术

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

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

Endoscopic ultrasound-guided liver biopsy using a 22-G fine needle biopsy needle: a prospective study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

影响因子: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.

译文

近年来,超声内镜医师进行的“同一疗程” EUS引导的肝活检(EUS-LB)已受到人们的青睐,并且相对于现有的肝组织采集技术,它可能具有若干潜在优势。 EUS-LB的组织学诊断率为93.9%,不良事件率为2.3%,似乎是一种安全可行的选择。然而,尽管它可能比传统的肝活检方法具有优势,但有关组织破碎,组织充分性和出血风险的担忧继续阻碍EUS-LB在临床实践中的广泛采用。 EUS-LB是一种在技术上可重现的方法,而与人体习惯无关,因为针只需要穿过胃壁或十二指肠壁即可到达肝实质。该程序在门诊病人环境中进行,可提供镇静和镇痛的舒适性。 EUS提供肝脏左叶的高分辨率图像以及肝脏右叶的可观部分。结合多普勒成像功能,可以将活检针安全地导入肝脏,以便在实时图像指导下进行采样。已经认识到,采样错误会导致从单个部位进行活检的诊断不准确。与超声或计算机断层扫描(CT)扫描相比,EUS可以对同一环境中的肝左叶和右叶进行轻松,安全的活检,同时潜在地解决了有关采样误差的问题。 EUS-LB的主要费用是内窥镜检查程序,以及细针活检(FNB)针的费用,这与经皮或经颈静脉入路的针费用没有区别。因此,这种方法可能最适合需要EUS评估肝功能检查结果升高的患者。如果未发现需要内镜逆行胰胆管造影术(ERCP)的阻塞性病变,则可以在同一疗程中进行EUS-LB。