Conway Jason D, Hawes Robert H
Division of Gastroenterology and Hepatology, Digestive Diseases Center, Medical University of South Carolina, Charleston, South Carolina, USA.
Rev Gastroenterol Disord. 2006 Fall;6(4):201-8.
Since endoscopic ultrasound (EUS) was first developed in the 1980s, this technology has emerged as the principal modality for imaging the pancreas. When compared with other imaging techniques, EUS can more accurately image solid lesions of the pancreas and determine vascular involvement that might preclude surgery. Furthermore, EUS-guided fine needle aspiration allows safe and accurate sampling and histological diagnosis of these lesions. EUS also plays a large role in the evaluation of cystic lesions of the pancreas. EUS cyst morphology, as well as fluid analysis obtained by fine needle aspiration, can often be used to diagnose the etiology of these lesions, helping the clinician to more accurately assess the presence or potential for malignancy. EUS can also predict the probability of the presence of chronic pancreatitis, primarily on the basis of histological correlates. The focus of this review is to discuss the role of EUS in these and other commonly encountered pancreatic diseases.
自20世纪80年代内镜超声（EUS）首次开发以来，这项技术已成为胰腺成像的主要方式。与其他成像技术相比，EUS能够更准确地对胰腺实性病变进行成像，并确定可能排除手术的血管受累情况。此外，EUS引导下的细针穿刺可对这些病变进行安全、准确的采样和组织学诊断。EUS在胰腺囊性病变的评估中也发挥着重要作用。EUS囊肿形态以及通过细针穿刺获得的液体分析结果，通常可用于诊断这些病变的病因，帮助临床医生更准确地评估恶性肿瘤的存在或可能性。EUS还可主要根据组织学相关性预测慢性胰腺炎的发生概率。本综述的重点是讨论EUS在这些以及其他常见胰腺疾病中的作用。
