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经腹超声用于实质性胰腺疾病的诊断检查。

Transabdominal ultrasound for the diagnostic workup of parenchymal pancreatic diseases.

作者信息

Henker Robert, Blank Valentin, Karlas Thomas

机构信息

Interdisciplinary Ultrasound Unit, Department of Medicine II, Division of Gastroenterology, Leipzig University Medical Center, Leipzig, Germany.

Klinik für Innere Medizin, Erzgebirgsklinikum gGmbH, Haus Zschopau, Germany.

出版信息

Ultraschall Med. 2025 Apr;46(2):124-144. doi: 10.1055/a-2336-1700. Epub 2024 Jun 20.

DOI:10.1055/a-2336-1700
PMID:38901437
Abstract

This continuing medical education article highlights the central role of transcutaneous sonography in diagnosing parenchymal pancreatic diseases. It emphasizes the importance of in-depth knowledge of sonographic imaging of organ anatomy and a structured examination methodology, particularly for identifying acute and chronic pancreatitis and related complications. The article provides detailed guidance for optimized examination techniques and equipment settings, even under challenging conditions, and discusses the application of ultrasound in various scenarios of pancreatic diseases. Moreover, the relevance of advanced sonographic techniques such as high-frequency sonography, elastography, and contrast-enhanced sonography is illuminated in the context of expanded diagnostic workup.

摘要

这篇继续医学教育文章强调了经皮超声检查在诊断胰腺实质疾病中的核心作用。它强调了深入了解器官解剖结构的超声成像以及结构化检查方法的重要性,特别是对于识别急性和慢性胰腺炎及相关并发症。文章提供了优化检查技术和设备设置的详细指导,即使在具有挑战性的条件下也是如此,并讨论了超声在胰腺疾病各种情况下的应用。此外,在扩展诊断检查的背景下,还阐述了高频超声、弹性成像和超声造影等先进超声技术的相关性。

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Transabdominal ultrasound for the diagnostic workup of parenchymal pancreatic diseases.经腹超声用于实质性胰腺疾病的诊断检查。
Ultraschall Med. 2025 Apr;46(2):124-144. doi: 10.1055/a-2336-1700. Epub 2024 Jun 20.
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[Transabdominal ultrasonography in pancreatic diseases].[经腹超声检查在胰腺疾病中的应用]
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Advanced endosonographic diagnostic tools for discrimination of focal chronic pancreatitis and pancreatic carcinoma--elastography, contrast enhanced high mechanical index (CEHMI) and low mechanical index (CELMI) endosonography in direct comparison.用于鉴别局灶性慢性胰腺炎和胰腺癌的先进内镜超声诊断工具——弹性成像、对比增强高机械指数(CEHMI)和低机械指数(CELMI)内镜超声的直接比较
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引用本文的文献

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Transabdominal ultrasound for the characterization and follow-up of cystic pancreatic lesions.经腹超声用于胰腺囊性病变的特征性诊断及随访。
Sci Rep. 2025 Jun 20;15(1):20228. doi: 10.1038/s41598-025-07136-w.
2
Development and validation of a nomogram model based on ultrasound and contrast-enhanced ultrasound features for differentiating mass-forming pancreatitis and pancreatic ductal adenocarcinoma.基于超声和超声造影特征的列线图模型用于鉴别肿块型胰腺炎和胰腺导管腺癌的开发与验证
Abdom Radiol (NY). 2025 May 31. doi: 10.1007/s00261-025-05035-2.