在食道中使用内镜进行内支膜超声波
Mohammad A Issa1, Paul F Clementsen2, Christian B Laursen3
1Pulmonary Research Unit (PLUZ), Department of Respiratory Medicine, Zealand University Hospital; moai@regionsjaelland.dk.
Journal of visualized experiments : JoVE
|December 11, 2023
概括
内镜超声波-支气管镜检查 (EUS-B) 是肺病学家在食道和胃附近的活检结构的一种最小侵入性技术. 这种安全可行的程序扩大了肺癌分期的诊断能力.
科学领域:
- 肺部病理学 肺部病理学
- 干预性肺病学 干预性肺病学
- 胃肠病学 胃肠病学
背景情况:
- 内镜超声波-支气管镜检查 (EUS-B) 使用回声内镜进行微创可视化和活检.
- 它提供了超越传统内镜超声波 (EUS) 和内膜超声波 (EBUS) 的结构.
- EUS-B被设计成一个肺病学家友好的EUS适应,利用现有的EBUS专业知识.
研究的目的:
- 评估EUS-B的安全性和可行性,用于肺病学家.
- 评估EUS-B提供的诊断扩展与现有方法相比.
- 突出EUS-B在肺癌诊断和分期中的作用.
主要方法:
- 该程序涉及通过鼻孔或口腔将一个回声内镜引入食道和胃,在有意识的镇静下.
- 使用超声波识别关键地标,包括左肝叶,腹腔大动脉,左上腺和中枢淋巴结站 (7,4L,4R).
- 活检是通过内镜超声波引导细针吸收 (EUS-B-FNA) 获得的,具有特定的活检顺序以防止升级.
主要成果:
- EUS-B被证明是经验丰富的干预肺病学家的安全和可行的程序.
- 这种技术可以让人接触 retroperitoneal 淋巴结,,肝脏,胰腺和上腺的病变,而这些病变是EBUS无法接触到的.
- 它允许实时超声波指导活检,类似于EBUS-TBNA.
结论:
- EUS-B显著扩大了肺病学家的诊断可能性.
- 它提供了一种安全,快速和彻底的方法来诊断和分期肺癌.
- 在EUS-B的培训被认为是从EBUS的自然进展,促进肺病学家的采用.
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