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首页> 外文期刊>Endoscopy International Open >EUS-guided fine-needle core liver biopsy with a modified one-pass, one-actuation wet suction technique comparing two types of EUS core needles
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EUS-guided fine-needle core liver biopsy with a modified one-pass, one-actuation wet suction technique comparing two types of EUS core needles

机译：EUS引导的细针核心肝脏活组织检查，具有改进的单次通过，一次致动湿吸力技术比较两种类型的EUS核心针

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Background and study aims?We compared the diagnostic yield and specimen adequacy in EUS-guided parenchymal biopsies between two types of EUS 19 G core needles. Patients and methods?This is a retrospective study of 420 patients at two tertiary medical centers in Florida with unexplained abnormal liver associated tests were referred for EUS evaluation of biliary obstruction and pancreatic pathology. EUS-guided liver biopsy (EUS-LB) was performed at the same session after biliary obstruction was excluded. We compared intact specimen length (ISL), total specimen length (TSL), complete portal triads (CPT) and adverse events (AE). Welch’s T and Tukey tests were used for ISL, TSL and CPT. Results?A total of 210 patients underwent EUS-LB using a Franseen needle, 210 patients using a fork-tip needle. Median patient age was 52 years (15.63) and 238 (56.7?%) were female. The fork-tip needle had a mean ISL of 2.7 (1.1?SD) cm, TSL of 6?cm (2.1?SD), and mean 19.5 CPT (8.5?SD) Abdominal pain occurred in 35 patients (17?%) post-procedure and was managed with supportive care. Two patients required intravenous (IV) narcotic administration. Subcapsular hematomas occurred in 1 (0.5?%) patients. The Franseen needle had a mean ISL of 3.1?cm (1.3?SD), TSL of 6.5?cm (2.6?SD), and mean of 24 CPT (8.8?SD). Abdominal pain occurred in four patients (2?%) post-procedure, which resolved in all patients after IV narcotic administration. Subcapsular hematomas occurred in 1 (0.5?%) and bile leak in 1(0.4?%) patients. Conclusions?Use of the Franseen needle resulted in better liver core samples than that obtained with a fork-tip needle.
机译：背景和学习症状？我们将诊断产量和标本充分与两种EUS 19 G核心针之间的eus引导的实质活组织检查进行了比较。患者和方法？这是在佛罗里达州的两位高等医疗中心的420名患者的回顾性研究，具有原因异常肝脏相关试验，用于胆管梗阻和胰腺病理学的EUS评估。在排除胆道阻塞后，在同一次会议中进行了令人调心的肝活检（EUS-LB）。我们将完整的样本长度（ISL）进行比较，总标本长度（TSL），完整门户三合会（CPT）和不良事件（AE）。 Welch的T和Tukey Tests用于ISL，TSL和CPT。结果？共210名患者使用Franseen针，210名使用叉尖针进行EUS-LB。中位数患者年龄为52岁（15.63）和238（56.7？％）是女性。叉尖针的平均值为2.7（1.1〜Sd）cm，Tsl为6Ωcm（2.1〜sd），平均为19.5 cpt（8.5〜sd）腹痛发生在35名患者（17？％）柱中发生-procedure，并以支持性的关怀管理。两名患者需要静脉注射（IV）麻醉给药。亚面积血肿发生在1（0.5μm）患者中发生。 Franseen针的平均值为3.1Ω·cm（1.3〜sd），tsl为6.5？cm（2.6？sd），平均值为24 cpt（8.8〜sd）。腹痛发生在四名患者（2？％）后术后，该程序在IV麻醉给药后的所有患者中解决。亚面包血血肿发生在1（0.5℃）和胆汁泄漏中发生1（0.4〜％）。结论？使用Franseen针产生比用叉尖针获得的肝芯样品更好。

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