超声内镜引导细针穿刺抽吸/活检标本的快速现场细胞学评价专家共识

Expert consensus on rapid on‑site evaluation of endoscopic ultrasound‑guided fine‑needle aspiration/biopsy specimens

摘要:

快速现场细胞学评价是超声内镜引导细针穿刺过程中获得标本的细胞学评估技术，在标本充分性评价、减少重复操作、提升诊断效率方面发挥不同的作用，目前国内尚无指南或共识指导临床实践。基于现有的临床循证医学依据，中华医学会消化内镜学分会、中国医师协会消化医师分会、国家消化系统疾病临床医学研究中心和消化健康全国重点实验室组织相关专家，对其定义与目的、适用情景、技术操作规范、消化医师培训、评价结果处理以及替代方案等方面进行讨论，并达成共识，旨在为超声内镜穿刺标本的快速现场细胞学评价的规范开展提供参考和指导，促进超声内镜引导穿刺操作的标准化及规范化。

Abstract:

Rapid on-site evaluation is a cytological assessment technique for specimens obtained during endoscopic ultrasound-guided fine-needle aspiration/biopsy. It plays different roles in evaluating specimen adequacy, reducing repetitive procedures, and improving diagnostic efficiency. Currently, there is no guideline or consensus in China to guide clinical practice. Based on existing clinical evidence-based medicine, Digestive Endoscopy Branch of Chinese Medical Association, Gastroenterologist and Hepatologist Branch of Chinese Medical Doctor Association, National Clinical Research Center for Digestive Diseases and State Key Laboratory of Digestive Health organized relevant experts to discuss its definition and purpose, applicable scenarios, technical operation specifications, training for gastroenterologists, process of evaluation results, and alternative solutions. A consensus was reached, aiming to provide reference and guidance for the standardized implementation of rapid on-site evaluation of specimens obtained through endoscopic ultrasound‑guided fine-needle aspiration/biopsy and to promote the standardization and normalization of endoscopic ultrasound-guided puncture procedures.