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胰腺病变内镜超声诊断作用的最新进展

The Latest Advancements in Diagnostic Role of Endosonography of Pancreatic Lesions.

作者信息

Rogowska Jagoda Oliwia, Durko Łukasz, Malecka-Wojciesko Ewa

机构信息

Department of Digestive Tract Diseases, Medical University of Lodz, 90-647 Lodz, Poland.

出版信息

J Clin Med. 2023 Jul 12;12(14):4630. doi: 10.3390/jcm12144630.

DOI:10.3390/jcm12144630
PMID:37510744
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10380545/
Abstract

Endosonography, a minimally invasive imaging technique, has revolutionized the diagnosis and management of pancreatic diseases. This comprehensive review highlights the latest advancements in endosonography of the pancreas, focusing on key technological developments, procedural techniques, clinical applications and additional techniques, which include real-time elastography endoscopic ultrasound, contrast-enhanced-EUS, EUS-guided fine-needle aspiration or EUS-guided fine-needle biopsy. EUS is well established for T-staging and N-staging of pancreaticobiliary malignancies, for pancreatic cyst discovery, for identifying subepithelial lesions (SEL), for differentiation of benign pancreaticobiliary disorders or for acquisition of tissue by EUS-guided fine-needle aspiration or EUS-guided fine-needle biopsy. This review briefly describes principles and application of EUS and its related techniques.

摘要

内镜超声检查是一种微创成像技术,它彻底改变了胰腺疾病的诊断和管理方式。这篇综述重点介绍了胰腺内镜超声检查的最新进展,聚焦于关键技术发展、操作技术、临床应用以及其他技术,包括实时弹性成像内镜超声、对比增强内镜超声、内镜超声引导下细针穿刺抽吸或内镜超声引导下细针活检。内镜超声检查在胰胆管恶性肿瘤的T分期和N分期、胰腺囊肿的发现、上皮下病变的识别、良性胰胆管疾病的鉴别诊断或通过内镜超声引导下细针穿刺抽吸或内镜超声引导下细针活检获取组织方面已得到广泛应用。本综述简要描述了内镜超声检查及其相关技术的原理和应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/257d/10380545/7921615b7069/jcm-12-04630-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/257d/10380545/f4db45d5a494/jcm-12-04630-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/257d/10380545/c20b008f273e/jcm-12-04630-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/257d/10380545/7921615b7069/jcm-12-04630-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/257d/10380545/f4db45d5a494/jcm-12-04630-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/257d/10380545/c20b008f273e/jcm-12-04630-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/257d/10380545/7921615b7069/jcm-12-04630-g003.jpg

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Sci Rep. 2023 Mar 4;13(1):3677. doi: 10.1038/s41598-023-30920-5.
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Pancreatic Cancer in Chronic Pancreatitis: Pathogenesis and Diagnostic Approach.慢性胰腺炎中的胰腺癌:发病机制与诊断方法
Cancers (Basel). 2023 Jan 26;15(3):761. doi: 10.3390/cancers15030761.
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Artificial Intelligence in Endoscopic Ultrasound for Pancreatic Cancer: Where Are We Now and What Does the Future Entail?
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Ann Gastroenterol. 2025 May-Jun;38(3):247-254. doi: 10.20524/aog.2025.0961. Epub 2025 Apr 22.
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Endoscopic techniques for the diagnosis of pancreatic cystic lesions.用于诊断胰腺囊性病变的内镜技术。
World J Gastroenterol. 2025 Jan 7;31(1):101082. doi: 10.3748/wjg.v31.i1.101082.
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BMC Gastroenterol. 2024 Nov 19;24(1):415. doi: 10.1186/s12876-024-03517-z.
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