Endoscopic Ultrasound (EUS) koob

Kev tsim ntau ntu ntawm rab koob tip kos rau ntawm daim ntawv thov ntawm txoj cai golden seem nyob rau hauv txhua yam muaj zog.

Qhov loj-lub kaum sab xis tsim ntawm lub hauv ntej kawg ua rau lub koob taub ntawm ntau lub peev xwm, uas tuaj yeem punctured ntau zaus yam tsis muaj deformation.

Muab ob npaug rau twist-lock kev nyab xeeb ntaus ntawv ntawm tus kov ntsuas kom tsis txhob muaj rab koob tsis tsim nyog, pab cov kws kho mob kom paub qhov ntev ntawm rab koob ntawm qhov kawg ntawm rab koob thaum lub sijhawm ua haujlwm kho mob, thiab tiv thaiv kev mob nkeeg xws li kev sib tsoo.

Kev sojntsuam hlau yog ua los ntawm cov khoom siv nickel-titanium, uas ua rau kev ua haujlwm smoother thiab hloov tau yooj yim dua.

Lub ntsiab lus array ncha tsim tau zoo txhim kho qhov tseeb ntawm ultrasound imaging thiab puncture.

Cov koob txhaj tshuaj ceev ceev kom muaj kev nyab xeeb ntawm tag nrho cov txheej txheem biopsy.

Lub lockable syringe yog ib qho yooj yim rau kev khiav lag luam, thiab cov txheej txheem aspiration yog yooj yim thiab meej.

Khoom Description

Txij li thaum nws thawj tsab ntawv ceeb toom los ntawm Henriksen et al[1], endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) tau tam sim no tau muab tso rau hauv lub diagnostic thiab staging algorithm rau kev ntsuam xyuas ntawm benign thiab malignant kab mob ntawm lub plab zom mov (GI) thiab ntawm lub cev uas nyob ib sab [2]. Nws qhov kev taw qhia ua rau muaj kev cuam tshuam loj hauv thaj chaw endoscopic thiab tau maj mam hloov EUS los ntawm kev hloov pauv cov duab ntshiab mus rau hauv cov txheej txheem kho mob ntau dua thiab tsis ntev los no. Tsis tas li ntawd, qhov muaj peev xwm ntawm kev sau cov qauv, muab qhov tseeb cytological thiab / lossis histological pov thawj ntawm qhov muaj tus kab mob malignancy, tau ua rau muaj txiaj ntsig zoo rau kev hloov pauv EUS los ntawm cov ntsiab lus, cov neeg ua haujlwm muaj kev vam meej rau hauv lub hom phiaj ntau dua.

Hauv tsab xov xwm no, peb tau ua qhov kev ntsuam xyuas tseem ceeb ntawm cov ntaub ntawv luam tawm tsis ntev los no thiab tshuaj xyuas cov cuab yeej, cov txheej txheem thiab cov kev siv tshuaj kho mob tseem ceeb tshaj plaws ntawm EUS-FNA. Lub luag haujlwm ntawm EUS hauv kev kuaj mob thiab kev ua haujlwm ntawm esophageal, gastric, qog nqaij hlav hauv plab, cov qog subepithelial, qog nqaij hlav pancreatobiliary, qog nqaij hlav hauv nruab nrab, mob ntsws thiab lwm yam qog nqaij hlav tau raug cuam tshuam nrog. Txawm hais tias muaj cov kev kuaj pom zoo tshaj plaws xws li suav tomography (CT) thiab cov duab sib nqus resonance, EUS tseem yog tus qauv kub rau kev kuaj mob thiab kev ua haujlwm ntawm ntau yam qog nqaij hlav hauv plab tshwj xeeb ntawm cov txiav, vim nws qhov siab thiab qhov tshwj xeeb thiab cov txheej txheem kev nyab xeeb. tau cov ntaub so ntswg. Peb tsis tau hais txog cov ncauj lus zoo li lub luag haujlwm dav dav ntawm EUS hauv kev kuaj mob ntawm tus kab mob pancreatobiliary pob zeb, mob pancreatitis, autoimmune pancreatitis lossis hauv kev tshuaj xyuas cov neeg mob nrog tsev neeg keeb kwm. Peb kuj tseem tsis tau hais txog qhov nyuaj tshaj plaws thiab zoo siab kho qhov muag ntawm EUS hauv cov kab mob pob zeb, pseudocysts, celiac blocks thiab koob txhaj tshuaj zoo ntawm cov qog. Peb tau sim tsom mus rau cov teeb meem uas muaj pov thawj muaj zog tshaj plaws tam sim no thiab tseem tsuas yog hais txog cov ntsiab lus tsis sib haum xeeb xws li kev siv EUS post neoadjuvant chemotherapy.