超声内镜下纵隔淋巴结取样的结果

IF 2 4区 医学 Q3 GASTROENTEROLOGY & HEPATOLOGY
Tae Young Park, J. Moon
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引用次数: 1

摘要

方法对2006年5月至2017年1月接受EUS引导下trucut活检或FNA活检的纵隔淋巴结病患者进行回顾性分析。比较trucut针组和抽吸针组之间的人口学数据、LNs的内窥镜检查特征,包括大小、形状、边界、回声纹理和回声、诊断率和不良事件。结果共鉴定出69例患者(trucut组,n=33,误吸组,n=36)。两组之间在人口统计学数据、EUS引导下活检的指征、淋巴结的位置、穿刺次数和淋巴结的内窥镜检查特征方面没有显著差异。trucut组的LNs尺寸大于抽吸组(28.9±14.0 mm与21.1±8.8 mm,P=0.007)。然而,≥10的LNs比率没有显著差异 mm。EUS引导的活检对恶性病变的诊断总体准确率为79.7%(55/69)。两组之间恶性淋巴结的组织学诊断率没有显著差异。两组患者均无明显的手术相关不良事件。结论超声引导下纵隔淋巴结活检可作为纵隔淋巴结病变组织学评价的一种有效方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Outcome of Endoscopic Ultrasound-Guided Sampling of Mediastinal Lymphadenopathy
Methods From May 2006 to January 2017, patients with mediastinal lymphadenopathy, who received an EUS-guided trucut biopsy or an FNA biopsy, were retrospectively reviewed. Demographic data, endosonographic characteristics of LNs including size, shape, border, echotexture, and echogenicity, diagnostic yield, and adverse events between the trucut needle group and aspiration needle group were compared. Results A total of 69 patients (trucut group, n = 33 vs. aspiration group, n = 36) were identified. There were no significant differences in demographic data, indication for an EUS-guided biopsy, location of LNs, number of needle passes, and endosonographic features of LNs between the two groups. The sizes of LNs were larger in the trucut group than in the aspiration group (28.9 ± 14.0 mm vs. 21.1 ± 8.8 mm, P = 0.007). However, there was no significant difference in the ratio of LNs that were ≥10 mm in both groups. The overall accuracy of the EUS-guided biopsy for the diagnosis of malignant lesions was 79.7% (55/69). There were no significant differences in the histological diagnostic yield of malignant LNs between the two groups. There were no significant procedure-related adverse events in both groups. Conclusion The EUS-guided biopsy can be a useful method for histologic evaluation of mediastinal nodal lesions.
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来源期刊
Gastroenterology Research and Practice
Gastroenterology Research and Practice GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
4.40
自引率
0.00%
发文量
91
审稿时长
1 months
期刊介绍: Gastroenterology Research and Practice is a peer-reviewed, Open Access journal which publishes original research articles, review articles and clinical studies based on all areas of gastroenterology, hepatology, pancreas and biliary, and related cancers. The journal welcomes submissions on the physiology, pathophysiology, etiology, diagnosis and therapy of gastrointestinal diseases. The aim of the journal is to provide cutting edge research related to the field of gastroenterology, as well as digestive diseases and disorders. Topics of interest include: Management of pancreatic diseases Third space endoscopy Endoscopic resection Therapeutic endoscopy Therapeutic endosonography.
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