内镜超声导向肝活检:错过了作中的局限性
Narendra S Choudhary1, Swapnil Dhampalwar1, Sukrit Sud1
1Institute of Digestive and Hepatobiliary Sciences, Medanta The Medicity, Gurugram, Haryana, India.
Journal of clinical and experimental hepatology
|December 11, 2023
概括
常规不建议使用内镜超声波导向肝活检 (EUS-LB). 研究表明,EUS-LB产生的结果与皮肤间肝脏活检相当或低于皮肤间肝脏活检,并发症类似,成本更高.
科学领域:
- 胃肠病学 胃肠病学
- 肝病学 肝病学是一种肝病学.
- 医疗技术评估 医疗技术评估
背景情况:
- 透视超声导向肝活检 (EUS-LB) 在临床实践和医学会议上越来越受欢迎.
- 目前正在审查当前的文献,以评估EUS-LB的有效性和安全性.
研究的目的:
- 评估内镜超声导向肝活检 (EUS-LB) 与皮间肝活检 (PLB) 的比较有效性.
- 讨论EUS-LB的技术局限性和比较研究.
主要方法:
- 对当前文献的审查,比较EUS-LB和PLB.
- 分析技术限制和并发症率.
主要成果:
- EUS-LB的结果与PLB相当或低于PLB.
- 与PLB相比,EUS-LB可能产生较少的组织.
- EUS-LB的并发症率与PLB相似,但EUS-LB的成本更高.
结论:
- 由于可比或劣质的结果,相似的并发症率和增加的成本,应该阻止EUS-LB的常规使用.
- 透皮肝活检仍然是一个更成熟,更具成本效益的程序.
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