Choi Jun-Ho, Seo Dong-Wan
Department of Internal Medicine, Dankook University College of Medicine, Dankook University Hospital, Seoul, South Korea.
Department of Internal Medicine, Division of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
Endosc Ultrasound. 2017 Jan-Feb;6(1):21-24. doi: 10.4103/2303-9027.200211.
Over the last decade, the clinical applications of contrast-enhanced harmonic endoscopic ultrasound (CH-EUS) have increased steadily. The development of second-generation ultrasound contrast agents has allowed superior visualization of the microvasculature and tissue perfusion of the target lesion. This methodology has proven useful in the differential diagnosis of solid pancreatic masses and lymph nodes. In addition, the applicability of CH-EUS has expanded to nonpancreas structures such as biliary, focal liver lesions, and vascular disease. This article focuses primarily on the novel applications of CH-EUS in biliary tract and visceral vascular diseases.
在过去十年中，对比增强谐波内镜超声（CH-EUS）的临床应用稳步增加。第二代超声造影剂的发展使得对目标病变的微血管和组织灌注有了更好的可视化效果。这种方法已被证明在胰腺实性肿块和淋巴结的鉴别诊断中很有用。此外，CH-EUS的适用性已扩展到非胰腺结构，如胆道、肝脏局灶性病变和血管疾病。本文主要关注CH-EUS在胆道和内脏血管疾病中的新应用。
