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“现场”鉴别性质不明的胆管狭窄

FOCUS研究

GastrointestEndosc.,Dr.ASlivkab1

名性质不明胆管狭窄的患者，6个国际研究中心

SurgEndosc.,Dr.F.Caillolb2

61名未做过组织学检查的胆管狭窄患者

pCLE结合ERCP敏感性达89%，而单纯组织取样敏感性仅为56%b1

pCLE的NPV为78%，相比之下单纯组织取样的NPV为57%b1

参考文献

b1.　　Slivkaetal,Validationofthediagnosticaccuracyofprobe-basedconfocallaserendomicroscopyforthecharacterizationofindeterminatebiliarystrictures:resultsofaprospectivemulticenterinternationalstudy,GastrointestinalEndoscopy,.

b2.　　Cailloletal,Evaluationofprobe-basedconfocallaserendomicroscopyinthebileductinalresultsofEMIDstudy:pCLE:impactinthemanagementofbileductstrictures.SurgEndosc,.

b3.　　CaillolF,etal.Refinedprobe-basedconfocallaserendomicroscopyclassificationforbiliarystrictures:theParisclassification.DigestiveDiseasesandSciences,.

b4.　　HeifM,etal.ERCPwithProbe-BasedConfocalLaserEndomicroscopyfortheEvaluationofDominantBiliaryStenosesinPrimarySclerosingCholangitisPatients.DigestiveDiseasesandSciences,.

b5.　　MeiningA,etal.ClassificationofProbe-basedConfocalLaserEndomicroscopyfindingsinPancreaticobiliaryStrictures.Endoscopy,.

b6.　　LoeserCS,etal.ConfocalEndomicroscopicExaminationofMalignantBiliaryStricturesandHistologicCorrelationwithLymphatics.JournalofClinicalGastroenterology,.

b7.　　MeiningA,etal.DirectVisualizationofIndeterminatePancreaticobiliaryStricturesusingProbe-basedConfocalLaserEndomicroscopy-AMulticenterExperience.GastrointestinalEndoscopy,.

b8.　　GiovanniniM,etal.ResultsofaphaseI-IIstudyonIntraductalConfocalMicroscopy(IDCM)inpatientswithCommonBileDuct(CBD)Stenosis.SurgicalEndoscopy,.

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