内镜超声在胆囊病变诊断中的作用。
The Role of Endoscopic Ultrasound in the Diagnosis of Gallbladder Lesions.
作者信息
Hashimoto Senju, Nakaoka Kazunori, Kawabe Naoto, Kuzuya Teiji, Funasaka Kohei, Nagasaka Mitsuo, Nakagawa Yoshihito, Miyahara Ryoji, Shibata Tomoyuki, Hirooka Yoshiki
机构信息
Department of Gastroenterology and Hepatology, School of Medicine, Fujita Health University, 1-98, Dengakugakubo, Kutsukake-cho, Toyoake 470-1192, Aichi, Japan.
出版信息
Diagnostics (Basel). 2021 Sep 28;11(10):1789. doi: 10.3390/diagnostics11101789.
Gallbladder (GB) diseases represent various lesions including gallstones, cholesterol polyps, adenomyomatosis, and GB carcinoma. This review aims to summarize the role of endoscopic ultrasound (EUS) in the diagnosis of GB lesions. EUS provides high-resolution images that can improve the diagnosis of GB polypoid lesions, GB wall thickness, and GB carcinoma staging. Contrast-enhancing agents may be useful for the differential diagnosis of GB lesions, but the evidence of their effectiveness is still limited. Thus, further studies are required in this area to establish its usefulness. EUS combined with fine-needle aspiration has played an increasing role in providing a histological diagnosis of GB tumors in addition to GB wall thickness.
胆囊（GB）疾病包括各种病变，如胆结石、胆固醇息肉、腺肌症和胆囊癌。本综述旨在总结内镜超声（EUS）在胆囊病变诊断中的作用。EUS可提供高分辨率图像，有助于提高胆囊息肉样病变、胆囊壁厚度及胆囊癌分期的诊断准确性。造影剂可能有助于胆囊病变的鉴别诊断，但其有效性的证据仍有限。因此，该领域需要进一步研究以确定其效用。除了测量胆囊壁厚度外，EUS联合细针穿刺在提供胆囊肿瘤组织学诊断方面发挥着越来越重要的作用。
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