用于消化道疾病的新型内镜超声技术：综述
New endoscopic ultrasound techniques for digestive tract diseases: A comprehensive review.
作者信息
Meng Fan-Sheng, Zhang Zhao-Hong, Ji Feng
机构信息
Fan-Sheng Meng, Feng Ji, Department of Gastroenterology, the First Affiliated Hospital, Zhejiang University, Hangzhou 310000, Zhejiang Province, China.
出版信息
World J Gastroenterol. 2015 Apr 28;21(16):4809-16. doi: 10.3748/wjg.v21.i16.4809.
Abstract
Endoscopic ultrasound (EUS) is one of the most important modalities for the diagnosis of digestive tract diseases. EUS has been evolving ever since it was introduced. New techniques such as elastography and contrast enhancement have emerged, increasing the accuracy, sensitivity and specificity of EUS for the diagnosis of digestive tract diseases including pancreatic masses and lymphadenopathy. EUS-elastography evaluates tissue elasticity and therefore, can be used to differentiate various lesions. Contrast-enhanced EUS can distinguish benign from malignant pancreatic lesions and lymphadenopathy using the intravenous injection of contrast agents. This review discusses the principles and types of these new techniques, as well as their clinical applications and limitations.
摘要
内镜超声（EUS）是诊断消化道疾病最重要的手段之一。自引入以来，EUS一直在不断发展。弹性成像和对比增强等新技术不断涌现，提高了EUS对包括胰腺肿块和淋巴结病在内的消化道疾病诊断的准确性、敏感性和特异性。EUS弹性成像可评估组织弹性，因此可用于鉴别各种病变。对比增强EUS可通过静脉注射造影剂来区分胰腺良恶性病变及淋巴结病。本文综述讨论了这些新技术的原理、类型及其临床应用和局限性。
相似文献
1
New endoscopic ultrasound techniques for digestive tract diseases: A comprehensive review.用于消化道疾病的新型内镜超声技术：综述
World J Gastroenterol. 2015 Apr 28;21(16):4809-16. doi: 10.3748/wjg.v21.i16.4809.
2
Contrast-enhanced harmonic endoscopic ultrasound imaging: basic principles, present situation and future perspectives.对比增强谐波内镜超声成像：基本原理、现状与未来展望。
World J Gastroenterol. 2014 Nov 14;20(42):15549-63. doi: 10.3748/wjg.v20.i42.15549.
3
Endoscopic ultrasound elastography: Current status and future perspectives.内镜超声弹性成像：现状与未来展望。
World J Gastroenterol. 2015 Dec 21;21(47):13212-24. doi: 10.3748/wjg.v21.i47.13212.
4
Maximizing the endosonography: The role of contrast harmonics, elastography and confocal endomicroscopy.最大化内镜超声检查：对比谐波、弹性成像和共聚焦内镜显微镜检查的作用。
World J Gastroenterol. 2017 Jan 7;23(1):25-41. doi: 10.3748/wjg.v23.i1.25.
5
The evolution of endoscopic ultrasound: improved imaging, higher accuracy for fine needle aspiration and the reality of endoscopic ultrasound-guided interventions.内镜超声的发展：成像质量提高，细针抽吸的准确性更高，以及内镜超声引导介入的现实。
Curr Opin Gastroenterol. 2010 Sep;26(5):436-44. doi: 10.1097/MOG.0b013e32833d1799.
6
Clinical utility of endoscopic ultrasound elastography for identification of malignant pancreatic masses: a meta-analysis.内镜超声弹性成像在鉴别胰腺恶性肿块中的临床应用：荟萃分析。
J Gastroenterol Hepatol. 2013 Sep;28(9):1434-43. doi: 10.1111/jgh.12292.
7
Beyond conventional endoscopic ultrasound: elastography, contrast enhancement and hybrid techniques.超越传统的内镜超声：弹性成像、对比增强及杂交技术。
Curr Opin Gastroenterol. 2011 Sep;27(5):423-9. doi: 10.1097/MOG.0b013e328349cfab.
8
Endoscopic ultrasound elastography-- a new imaging technique for the visualization of tissue elasticity distribution.内镜超声弹性成像——一种用于可视化组织弹性分布的新成像技术。
J Gastrointestin Liver Dis. 2006 Jun;15(2):161-5.
9
Contrast-enhanced endoscopic ultrasound.增强型内镜超声检查。
Dig Endosc. 2014 Jan;26 Suppl 1:79-85. doi: 10.1111/den.12179. Epub 2013 Sep 30.
10
State-of-the-art imaging techniques in endoscopic ultrasound.内镜超声的最新成像技术。
World J Gastroenterol. 2011 Feb 14;17(6):691-6. doi: 10.3748/wjg.v17.i6.691.
引用本文的文献
1
Contrast-Enhanced Harmonic Endoscopic Ultrasonography for Prediction of Aggressiveness and Treatment Response in Patients with Pancreatic Lesions.对比增强谐波内镜超声检查对胰腺病变患者侵袭性及治疗反应的预测作用
Cancers (Basel). 2025 Aug 1;17(15):2545. doi: 10.3390/cancers17152545.
2
Contrast-enhanced endoscopic ultrasound for differential diagnosis of autoimmune pancreatitis: a meta-analysis.对比增强内镜超声在自身免疫性胰腺炎鉴别诊断中的应用：一项荟萃分析
Endosc Int Open. 2024 Oct 10;12(10):E1134-E1142. doi: 10.1055/a-2409-5519. eCollection 2024 Oct.
3
Detective flow imaging contrast-enhanced EUS in solid pancreatic lesions.侦探式血流成像对比增强超声内镜在胰腺实性病变中的应用
Endosc Ultrasound. 2024 Jul-Aug;13(4):248-252. doi: 10.1097/eus.0000000000000076. Epub 2024 Aug 23.
4
Endoscopic Ultrasound Advanced Techniques for Diagnosis of Gastrointestinal Stromal Tumours.内镜超声诊断胃肠道间质瘤的先进技术
Cancers (Basel). 2023 Feb 17;15(4):1285. doi: 10.3390/cancers15041285.
5
The efficiency of contrast-enhanced endoscopic ultrasound (EUS) combined with EUS elastography for pancreatic cancer diagnosis: a systematic review and meta-analysis.对比增强内镜超声（EUS）联合EUS弹性成像在胰腺癌诊断中的效能：一项系统评价和Meta分析
Ultrasonography. 2023 Jan;42(1):20-30. doi: 10.14366/usg.22103. Epub 2022 Oct 26.
6
Endoscopic ultrasound guided liver biopsy for parenchymal liver disease.内镜超声引导下肝实质疾病肝活检
World J Hepatol. 2019 Apr 27;11(4):335-343. doi: 10.4254/wjh.v11.i4.335.
7
Technique of qualitative and semiquantitative EUS elastography in pancreatic examination.胰腺检查中定性和半定量超声内镜弹性成像技术
Endosc Ultrasound. 2017 Dec;6(Suppl 3):S111-S114. doi: 10.4103/eus.eus_75_17.
8
Endoscopic ultrasound: Current roles and future directions.内镜超声：当前作用及未来方向。
World J Gastrointest Endosc. 2017 Oct 16;9(10):499-505. doi: 10.4253/wjge.v9.i10.499.
9
Influence of age, sex, body mass index, alcohol, and smoking on shear wave velocity (p-SWE) of the pancreas.年龄、性别、体重指数、酒精和吸烟对胰腺剪切波速度（p-SWE）的影响。
Abdom Radiol (NY). 2016 Jul;41(7):1310-6. doi: 10.1007/s00261-016-0661-7.
10
Endoscopic ultrasonography: Transition towards the future of gastro-intestinal diseases.内镜超声检查：迈向胃肠道疾病未来的转变。
World J Gastroenterol. 2016 Feb 7;22(5):1779-86. doi: 10.3748/wjg.v22.i5.1779.
本文引用的文献
1
Preliminary study of contrast-enhanced harmonic endosonography with second-generation contrast agents.第二代造影剂在超声造影谐波成像中的初步研究。
J Med Ultrason (2001). 2008 Mar;35(1):11-8. doi: 10.1007/s10396-007-0167-6. Epub 2008 Mar 15.
2
Endoscopic ultrasound guided confocal microscopy: Atlas of cystic pancreatic lesions.内镜超声引导共聚焦显微镜检查：胰腺囊性病变图谱
Endosc Ultrasound. 2014 Apr;3(Suppl 1):S19-21. doi: 10.4103/2303-9027.129481.
3
Contrast enhancement and elastography in endoscopic ultrasound: an overview of clinical applications in pancreatic diseases.内镜超声中的对比增强与弹性成像：胰腺疾病临床应用概述
Minerva Med. 2014 Oct;105(5):353-61. Epub 2014 Jul 16.
4
Pancreatic cystic lesions: The value of contrast-enhanced endoscopic ultrasound to influence the clinical pathway.胰腺囊性病变：增强型内镜超声在影响临床路径中的价值。
Endosc Ultrasound. 2014 Apr;3(2):123-30. doi: 10.4103/2303-9027.131040.
5
Can elastography replace fine needle aspiration?弹性成像能否替代细针抽吸？
Endosc Ultrasound. 2014 Apr;3(2):109-17. doi: 10.4103/2303-9027.123009.
6
Role of high resolution ultrasound/endosonography and elastography in predicting lymph node malignancy.高分辨率超声/内镜检查和弹性成像在预测淋巴结恶性肿瘤中的作用。
Endosc Ultrasound. 2014 Jan;3(1):58-62. doi: 10.4103/2303-9027.121252.
7
Contrast-enhanced harmonic endoscopic ultrasonography of solid pancreatic lesions.增强谐波内镜超声检查胰腺实性病变。
Endosc Ultrasound. 2013 Jul;2(3):142-7. doi: 10.7178/eus.06.005.
8
Role of endoscopic ultrasonography in the evaluation of extrahepatic cholangiocarcinoma.内镜超声检查在外周型胆管癌评估中的作用。
Endosc Ultrasound. 2013 Apr;2(2):71-6. doi: 10.4103/2303-9027.117690.
9
Endoscopic ultrasound elastography.内镜超声弹性成像。
Endosc Ultrasound. 2012 Apr;1(1):8-16. doi: 10.7178/eus.01.003.
10
Current status and future applications of contrast-enhanced endoscopic ultrasonography.超声内镜造影的现状与未来应用
World J Gastrointest Endosc. 2014 Apr 16;6(4):121-7. doi: 10.4253/wjge.v6.i4.121.
Zotero 插件