Department of Gastroenterology, Manchester Royal Infirmary.
Clin Med (Lond). 2009 Dec;9(6):539-43. doi: 10.7861/clinmedicine.9-6-539.
Endoscopic ultrasound (EUS) is an increasingly available diagnostic and therapeutic tool used within the U.K. it has wide applications both in the gastrointestinal tract and mediastinum with its current main uses being in the staging of luminal malignancies and assessment of pancreatic and subepithelial lesions. The emergence of linear EUS has opened up new therapeutic avenues with fine needle aspiration, trucut biopsies, coeliac plexus blocks and transmural pseudocyst drainage all now possible. Future developments include localised brachytherapy/chemotherapy and alcohol ablation of unresectable pancreatic malignancies and EUS-guided endoscopic surgery.
内镜超声(EUS)是一种在英国越来越普及的诊断和治疗工具,它在胃肠道和纵隔中有广泛的应用,目前主要用于腔道恶性肿瘤的分期和胰腺及黏膜下病变的评估。线性 EUS 的出现开辟了新的治疗途径,现在可以进行细针抽吸、 tru-cut 活检、腹腔神经丛阻滞和经壁假性囊肿引流。未来的发展包括局部近距离放射治疗/化疗和不可切除的胰腺恶性肿瘤的酒精消融以及 EUS 引导的内镜手术。