内镜超声引导下针式共聚焦激光显微内镜能否取代胰腺和纵隔疾病的细针穿刺抽吸？

Can endoscopic ultrasound-guided needle-based confocal laser endomicroscopy replace fine-needle aspiration for pancreatic and mediastinal diseases?

作者信息

Guo Jintao, Bhutani Manoop S, Giovannini Marc, Li Zhaoshen, Jin Zhendong, Yang Aiming, Xu Guoqiang, Wang Guiqi, Sun Siyu

机构信息

Endoscopy Center, Shengjing Hospital of China Medical University, Shenyang, Liaoning Province, China.

Department of Gastroenterology, Hepatology and Nutrition-Unit1466, UT MD Anderson Cancer Center, Houston, Texas, USA.

出版信息

Endosc Ultrasound. 2017 Nov-Dec;6(6):376-381. doi: 10.4103/eus.eus_87_17.

DOI:10.4103/eus.eus_87_17

PMID:29251271

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5752759/

Abstract

New applications of confocal laser endomicroscopy (CLE) have been developed, such as needle-based CLE (nCLE) for pancreatic masses, pancreatic cystic tumors, and lymph nodes. nCLE is feasible during endoscopic ultrasound (EUS) examination, and preliminary results are very encouraging and suggest this technology may be used in future as a useful adjunct in cases of inconclusive EUS-guided fine-needle aspiration. The aim of this paper is to give an update in this new technology and to define its place in the diagnosis of pancreatic masses and mediastinal diseases.

摘要

共聚焦激光内镜检查（CLE）已开发出了新的应用，如用于胰腺肿块、胰腺囊性肿瘤和淋巴结的基于针的CLE（nCLE）。nCLE在内镜超声（EUS）检查过程中是可行的，初步结果非常令人鼓舞，并表明该技术未来可能作为EUS引导下细针穿刺结果不确定病例的有用辅助手段。本文的目的是介绍这项新技术的最新情况，并确定其在胰腺肿块和纵隔疾病诊断中的地位。