【24h】

Therapeutic Aspects of Endoscopic Ultrasound

机译:内窥镜超声的治疗方面

获取原文

摘要

Endoscopic ultrasound (EUS) is a technology that had been used primarily as a passive imaging modality. Recent advances have enables us to move beyond the use of EUS solely as a staging tool to an interventional device. Current studies suggest that interventional applications of EUS will allow for minimally invasive assessment and therapies in a cost-effective manner. Endoscopic ultrasound with fine needle aspiration (EUS-FNA) has been demonstrated to be a technically feasible, relatively safe method of obtaining cytologic specimens. The clinical utility of EUS-FNA appears to be greatest in the diagnosis and staging of pancreatic cancer and in the nodal staging of gastrointestinal and pulmonary malignancies. In addition, EUS-FNA has demonstrated utility in the sampling pleural and ascitic fluid not generally appreciated or assessable to standard interventions. Interventional applications of EUS include EUS-guided pseudocyst drainage, EUS-guided injection of botulinum toxin in the treatment of achalasia, and EUS-guided celiac plexus neurolysis in the treatment of pancreatic cancer pain. Finally, EUS-guided fine-needle instillation (EUS-FNI) is being evaluated, in conjunction with recent biomolecular treatment modalities, as a delivery system in the treatment of certain gastrointestinal tumors.
机译:内镜超声检查(EUS)是已被主要用作无源成像模态的技术。最新进展已经使我们能够超越使用EUS的移动仅作为一个临时工具来干预装置。目前的研究表明,EUS的介入应用将允许在符合成本效益的方式微创评估和治疗。用细针穿刺(EUS-FNA)超声内镜已经被证明是获得细胞学标本的技术上是可行的,比较安全的方法。 EUS-FNA的临床应用似乎是最大的胰腺癌的诊断和分期,并在胃肠道和肺恶性肿瘤的淋巴结分期。此外,EUS-FNA已经证明实用程序在采样胸腔和腹水通常不理解或课税标准的干预措施。 EUS的介入应用包括EUS引导假性排水,在失弛缓症的治疗中的肉毒杆菌毒素的EUS引导喷射,并且在胰腺癌疼痛的治疗EUS引导腹腔神经丛神经松解。最后,EUS引导细针滴注(EUS-FNI)被评估,在与生物分子最近的治疗方式一起,作为递送系统在某些胃肠肿瘤的治疗。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号