Медицинская литература. Новинки

 

 

 

 

 

 

Тонкоигольная пункция под контролем эндоскопической ультрасонографии в диагностике опухолей билиопанкреатодуоденальной зоны

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Изучены возможности тонкоигольной биопсии под контролем эндоУЗИ в диагностике заболеваний органов гепатопанкреатодуоденальной зоны у 52 пациентов, которым было выполнено всего 77 диагностических процедур. В результате однократной тонкоигольной пункции морфологическая верификация диагноза была достигнута в 65% наблюдений. Повторные (одно- и двукратные) процедуры позволили добиться результата во всех наблюдениях. Установлено, что тонкоигольная пункция под контролем эндо-УЗИ дополняет результаты неинвазивной эндо-УЗИ, а также других методов инструментальной диагностики. Метод позволяет специалистам получить объективную информацию о морфологической структуре ткани исследуемого патологического очага, повышает эффективность комплекса диагностических мероприятий в целом.

Ключевые слова:
эндоскопическое УЗИ, тонкоигольная биопсия, опухоль гепатопанкреатодуоденальной зоны. М.С.

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Endoultrasonography Guided Fine Needle Biopsy for Cytological Identtification of Hepatopancreatoduodenal Malignancies

Facilities of endosonographic guided fine needle aspiration (EUSFNA) biopsy for cytological examination in oncolоgy practice are studied in 52 patients, who underwent 77 diagnostic procedures. In 65% only a single examination was required. In 35% cases occasional (not more than 3 times) enabled to manage 100% overall accuracy. It is concluded, that EUSFNA expands facilities of US noninvasive modalities. It enables specialists to achieve an objective information about morphology of the studied tissue from the pathologic locus and increases overall diagnostic accuracy of the complex examination.

Keywords:
endosonography, fine needle aspiration biopsy, hepatopancreatoduodenal tumors