Mortensen M B
Center for Advanced Endoscopic and Intraoperative Ultrasonography, Department of Surgical Gastroenterology, Odense University Hospital, Sdr Boulevard 29, 5000, Odense, Denmark.
Eur J Ultrasound. 1999 Nov;10(2-3):93-104. doi: 10.1016/s0929-8266(99)00057-9.
Over the past 15 years endoscopic ultrasonography (EUS) has become an integrated part of gastrointestinal imaging. The more recent development of echoendoscopes and needles for EUS guided fine needle aspiration has stimulated the interest in interventional EUS procedures, both for diagnostic and therapeutic purposes. This paper describes the technique and experience with some of the interventional EUS procedures based on the present literature. Many of the techniques must still be considered experimental and will need substantial clinical testing in larger series before any final conclusions can be made. However, the present level of interventional EUS seems to indicate, that some of these techniques could be cost-effective alternatives in specific clinical situations, and in some cases even the only possible theraputic action. Future research in interventional EUS should be concentrated in experienced endosonography centers under careful monitoring of complications and clinical outcome.
在过去15年里，内镜超声检查（EUS）已成为胃肠成像不可或缺的一部分。超声内镜及用于EUS引导下细针穿刺的穿刺针的最新进展激发了人们对介入性EUS程序的兴趣，其兼具诊断和治疗目的。本文基于现有文献描述了一些介入性EUS程序的技术及经验。许多技术仍需视为实验性的，在得出任何最终结论之前，还需要在更大规模的系列研究中进行大量临床测试。然而，目前介入性EUS的水平似乎表明，其中一些技术在特定临床情况下可能是具有成本效益的替代方案，在某些情况下甚至是唯一可行的治疗手段。介入性EUS的未来研究应集中在经验丰富的超声内镜检查中心，并对并发症和临床结果进行仔细监测。
