内镜超声引导下细针抽吸术对内镜活检阴性消化道恶性狭窄的诊断价值（含视频）

Role of endoscopic ultrasound‑guided fine needle aspiration in the diagnosis of biopsy‑negative malignant gastrointestinal strictures (with video)

摘要:

评价内镜超声引导下细针抽吸术（endoscopic ultrasound‑guided fine needle aspiration，EUS‑FNA）对内镜活检阴性的消化道恶性狭窄的诊断价值及安全性。回顾性分析2016年7月—2020年1月于苏州大学附属第二医院行CT检查提示消化道恶性肿瘤伴管腔完全狭窄、内镜活检阴性行EUS‑FNA的患者资料，观察术中及术后并发症，评估技术成功率及EUS‑FNA的准确性。共纳入11例患者，男7例、女4例，平均年龄60.3岁；其中食管病灶8例，直肠病灶3例。11例均成功实施了EUS‑FNA，其中病理提示恶性肿瘤10例，未见肿瘤细胞1例，所有患者未发生并发症。对内镜活检阴性的消化道恶性狭窄患者实施EUS‑FNA是一种安全、有效的诊断方法。

Abstract:

To evaluate the diagnostic value and safety of endoscopic ultrasound‑guided fine needle aspiration (EUS‑FNA) in patients with biopsy‑negative malignant gastrointestinal stricture, a retrospective analysis was performed on data of patients whose computed tomography scan showed gastrointestinal malignant tumor with complete lumen stricture and endoscopic biopsy results showed negative, who underwent EUS‑FNA in the Second Affiliated Hospital of Soochow University from July 2016 to January 2020. Perioperative complications, technical success rate and accuracy of EUS‑FNA were analyzed. Eleven cases included in the study, including 7 males and 4 females, with mean age of 60.3 years. There were 8 esophageal strictures and 3 rectal strictures. All patients successfully underwent EUS‑FNA, and malignant tumor was found in 10 cases and no tumor cell was found in 1 case. No complications were reported. EUS‑FNA is a safe and valuable approach to diagnosing biopsy‑negative malignant gastrointestinal strictures.