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[目的]总结内镜超声引导下细针抽吸活检术(EUS-FNA)在上消化道壁外(胰腺、纵膈、腹膜后)占位性病变中的应用及护理,以提高该技术的安全性和成功率。[方法]对我院2015年—2016年间开展的75例EUS-FNA病人进行回顾性分析总结。[结果]75例病人均穿刺成功,无严重并发症,获得满意的病理结果。[结论]EUS-FNA对上消化道壁外占位病变的诊断是一种安全、准确、有效的方法,术前做好充分的病情评估和针对性的心理护理,术中做好操作细节的配合,术后严密观察病情变化,规范处理穿刺标本并专人送检,及时发现并处理并发症是保证成功的重要环节。
[Objective] To summarize the application and nursing of endoscopic ultrasonography guided fine needle aspiration biopsy (EUS-FNA) in space-occupying lesions outside the upper digestive tract (pancreas, mediastinum and retroperitoneum) Security and success rate. [Methods] A retrospective analysis of 75 cases of EUS-FNA patients in our hospital from 2015 to 2016 was conducted. [Results] All the 75 patients had successful puncture, no serious complications and satisfactory pathological results. [Conclusion] EUS-FNA is a safe, accurate and effective method for the diagnosis of space occupying lesions in the upper digestive tract. Before operation, adequate assessment of the disease and targeted psychological nursing should be done before operation. With the close observation of postoperative changes in condition, standardize the puncture specimens and hand delivery, timely detection and treatment of complications is an important part of ensuring success.