胆管-胰腺双支架对EUS引导的胰腺病变患者组织获取的影响:一项多中心研究
Guochen Shang1,2, Qi He1, Chaoqun Han1
1Department of Gastroenterology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, Hubei Province, China.
Endoscopic ultrasound
|May 19, 2025
概括
胆汁胰腺双支支支架不会影响固体胰腺病变的内逆行胆血管胰腺学 (ERCP) 引导细针吸收 (EUS-FNA) 精度. 然而,EUS-FNA手术时间较长的支架,影响诊断产量.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 干预性内镜检查是干预性的内镜检查.
背景情况:
- 胆汁支架对EUS导向组织获取 (EUS-TA) 准确性的影响受到辩论.
- 胆管胰腺双倍支架对EUS-TA的影响在很大程度上是未知的.
研究的目的:
- 评估胆汁胰腺双支支架对EUS-FNA对固体胰腺病变的诊断产量的影响.
主要方法:
- 多中心回顾性研究.
- 在有和没有胆管胰腺双支架的患者之间比较EUS-FNA结果.
- 对诊断准确度,灵敏度,特异性,NPV和PPV的分析.
主要成果:
- 两组之间在精度,灵敏度,特异性,NPV或PPV方面没有显著差异.
- 在支架组中,EUS-FNA手术的时间明显更长 (19分钟而不是15分钟).
- 更大的病变和更多的通过与更高的诊断产量有关.
结论:
- 对于导致阻塞性黄的固体胰腺病变,ERCP之后的EUS-FNA是可行的.
- 胆囊胰腺双倍支架不会对诊断准确性或手术并发症产生负面影响.
- 当胆管-胰腺双支支架存在时,EUS-FNA操作时间会延长.
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