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| 1 | Usefulness of endoscopic ultrasound-guided fine needle aspiration in the diagnosis of hepatic, gallbladder and biliary tract Lesions显示文摘Endoscopic ultrasound(EUS)-guided fine needle aspira-tion(FNA) of the liver is a safe procedure in the diag-nosis and staging of hepatobiliary malignancies with a minimal major complication rate. EUS-FNA is useful for liver lesions poorly accessible to other imaging modali-ties of the liver. EUS-guided FNA of biliary neoplasia and malignant biliary stricture is superior to the con-ventional endoscopic brushing and biopsy. | Ghassan M Hammoud Ashraf Almashhrawi Jamal A Ibdah | 2014 | World Journal of Gastrointestinal Oncology2014，6，11： | 7 |
| 2 | Endoscopic ultrasound and paracentesis in the evaluation of small volume ascites in patients with intra-abdominal malignancies显示文摘The evaluation of ascites in patients with known or suspected malignancy is a critical aspect of preoperative staging.Endoscopic evaluation by ultrasound of low volume ascites and sampling of the ascitic fluid by endoscopic ultrasound guided paracentesis(EUS-P)is both a sensitive and specific modality for the determination of peritoneal implants,which is not only an important prognostic indicator but a crucial factor in determining treatment strategy.It is common practice to utilize EUS for gastrointestinal malignancies such as pancreatic or gastric masses,with the performance of paracentesis during the same procedure for the purpose of imaging the abnormality and possibly performing fine needle aspiration for biopsy of the neoplasm itself.However,given the ability of EUS-P to adequately sample even minimal ascites,detecting much smaller volumes than traditional computed tomography or magnetic resonance imaging,EUS-P may be a useful modality for the standard metastatic workup of any newly diagnosed or suspected malignancy.In this'Field of Vision'commentary,we discuss the role of EUS-P,including the article by Suzuki et al reporting their experience with EUS-P using an automated spring-loaded needle device.We also review the utility of EUS-P for non-gastrointestinal malignancies,such as ovarian cancer,which has a high incidence of malignant ascites. | Marissa M Montgomery I Michael Leitman | 2014 | World Journal of Gastroenterology2014，20，30： | 3 |
| 3 | 超声鉴别诊断腹腔浆膜腔积液良恶性的价值研究显示文摘目的探讨超声对腹腔浆膜腔积液良恶性的鉴别诊断价值。方法选取我院腹腔浆膜腔积液患者104例,其中良性37例,恶性67例。比较良、恶性浆膜腔积液患者的腹腔超声特征;采用Logistic回归模型分析差异有统计学意义的主要诊断指标,分析其对恶性浆膜腔积液的诊断效能。结果良、恶性浆膜腔积液患者的胆囊壁厚度、后腹膜淋巴结肿大、肠管浮游、大网膜增厚/结节、大网膜血流情况及肠壁增厚比较差异均有统计学意义(均P<0.05)。经过二变量Logistic逐步回归,得到以下方程:恶性可能性=1/(1+e^(-z)),其中z=4.226×胆囊壁厚度+5.218×大网膜增厚/结节+3.024×肠壁增厚+4.892×肠管浮游-29.387;大网膜增厚/结节诊断恶性浆膜腔积液的OR值为7.375,高于其他自变量。当浆膜腔积液患者出现胆囊壁薄、大网膜增厚/结节、肠壁增厚,且肠管浮游征消失时,恶性可能性为99%。结论超声有助于浆膜腔积液良恶性的鉴别诊断;且胆囊壁厚度、大网膜增厚/结节、肠壁增厚及肠管浮游征是超声预测浆膜腔积液良恶性的有效特征指标。 | 姜智明 林燕 邵菊 | 2018 | 临床超声医学杂志2018，20，3： | 1 |
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