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首页> 外文期刊>Endoscopy International Open >Needle fracture during endoscopic ultrasound-guided fine needle aspiration using a needle with a side hole
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Needle fracture during endoscopic ultrasound-guided fine needle aspiration using a needle with a side hole

机译：使用带侧孔的针头在内窥镜超声引导下细针抽吸期间针头骨折

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摘要

Background and study aims Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is widely performed to obtain pathological evidence from several parts of the body. Major complications of EUS-FNA are bleeding, pancreatitis, and abdominal pain. Needle fracture is a rare complication of EUS-FNA and only a few relevant reports are available. Here, we report a case of needle fracture during EUS-FNA using a needle with a side hole. A 61-year-old man underwent EUS-FNA of the uncinate process of the pancreas to confirm malignancy. A 20-gauge needle with a side hole was used to puncture the mass from the first part of the duodenum. The needle fracture occurred at the side hole during the third passage, and the fragment remained in the pancreas. Fortunately, the patient did not exhibit any symptoms due to the needle fragment. This case indicates that repeated puncture using the same needle with a side hole might increase risk of needle fracture during EUS-FNA. It is important to inform clinicians about the potential risk of needle fracture, particularly given the increasing number of EUS-FNAs being performed.
机译：背景和研究目的内窥镜超声引导下细针穿刺术（EUS-FNA）广泛用于从身体的多个部位获取病理学证据。 EUS-FNA的主要并发症是出血，胰腺炎和腹痛。针头骨折是EUS-FNA的罕见并发症，只有少数相关报道。在此，我们报告了使用带侧孔的针进行EUS-FNA期间针断裂的情况。一名61岁的男性接受胰腺Ecin-Fine处理的EUS-FNA证实为恶性肿瘤。使用带有侧孔的20号针头从十二指肠的第一部分穿刺。在第三次穿刺过程中，针断裂发生在侧孔处，并且碎片保留在胰腺中。幸运的是，由于针头碎片，患者没有出现任何症状。这种情况表明，在EUS-FNA期间使用具有侧孔的同一根针反复穿刺可能会增加针断裂的风险。重要的是要告知临床医生有关针头断裂的潜在风险，特别是考虑到正在执行的EUS-FNA数量不断增加。

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