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内镜超声和导管内超声在胆道疾病诊断中的应用：一项叙述性综述

Endoscopic Ultrasound and Intraductal Ultrasound in the Diagnosis of Biliary Tract Diseases: A Narrative Review.

作者信息

Nakahata Akiya, Yamashita Yasunobu, Kitano Masayuki

机构信息

Second Department of Internal Medicine, Wakayama Medical University, 811-1 Kimiidera, Wakayama 641-0012, Japan.

出版信息

Diagnostics (Basel). 2024 Sep 20;14(18):2086. doi: 10.3390/diagnostics14182086.

DOI:10.3390/diagnostics14182086
PMID:39335765
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11431652/
Abstract

Endoscopic ultrasound (EUS) and intraductal ultrasound (IDUS) play very important roles in the field of biliary tract disease. Because of their excellent spatial resolution, the detection of small lesions and T- or N-staging of tumors have become possible. Additionally, contrast-enhanced EUS and the new imaging technique of detective flow imaging are reported to be useful for differential diagnosis. Furthermore, EUS-guided tissue acquisition is used not only for pathological diagnosis but also to collect tissue samples for cancer genome profiling. This review provides an overview of diagnosis utilizing the features and techniques of EUS and IDUS.

摘要

内镜超声（EUS）和导管内超声（IDUS）在胆道疾病领域发挥着非常重要的作用。由于其出色的空间分辨率，使得小病变的检测以及肿瘤的T分期或N分期成为可能。此外，据报道，对比增强EUS和新的检测血流成像技术有助于鉴别诊断。此外，EUS引导下的组织获取不仅用于病理诊断，还用于收集组织样本进行癌症基因组分析。本文综述了利用EUS和IDUS的特点及技术进行诊断的相关内容。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/465d/11431652/e102fe61af86/diagnostics-14-02086-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/465d/11431652/bf56d7858174/diagnostics-14-02086-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/465d/11431652/3104d7d5dadc/diagnostics-14-02086-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/465d/11431652/69cf4eed49fd/diagnostics-14-02086-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/465d/11431652/102dac6b8f96/diagnostics-14-02086-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/465d/11431652/31ff6b50267d/diagnostics-14-02086-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/465d/11431652/e102fe61af86/diagnostics-14-02086-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/465d/11431652/bf56d7858174/diagnostics-14-02086-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/465d/11431652/3104d7d5dadc/diagnostics-14-02086-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/465d/11431652/69cf4eed49fd/diagnostics-14-02086-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/465d/11431652/102dac6b8f96/diagnostics-14-02086-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/465d/11431652/31ff6b50267d/diagnostics-14-02086-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/465d/11431652/e102fe61af86/diagnostics-14-02086-g006.jpg

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本文引用的文献

1
Worldwide Incidence and Mortality of Biliary Tract Cancer.全球胆管癌的发病率和死亡率
Gastro Hep Adv. 2022 Apr 15;1(4):618-626. doi: 10.1016/j.gastha.2022.04.007. eCollection 2022.
2
Clinical utility of endoscopic ultrasound-guided tissue acquisition for comprehensive genomic profiling of patients with biliary tract cancer, especially with intrahepatic cholangiocarcinoma.内镜超声引导下组织获取用于胆管癌患者，尤其是肝内胆管癌患者全面基因组分析的临床应用价值。
Clin Endosc. 2024 May;57(3):384-392. doi: 10.5946/ce.2023.139. Epub 2024 Feb 15.
3
Novel Technique of Endoscopic Ultrasonography for the Differential Diagnosis of Gallbladder Lesions and Intraductal Papillary Mucinous Neoplasms: A Single-Center Prospective Study.
内镜超声检查鉴别胆囊病变和导管内乳头状黏液性肿瘤的新技术：一项单中心前瞻性研究
Diagnostics (Basel). 2023 Jun 21;13(13):2132. doi: 10.3390/diagnostics13132132.
4
Diagnostic performance and safety of endoscopic ultrasound-guided tissue acquisition of gallbladder lesions: A systematic review with meta-analysis.内镜超声引导下胆囊病变组织采集的诊断性能和安全性：系统评价与荟萃分析。
Indian J Gastroenterol. 2023 Aug;42(4):467-474. doi: 10.1007/s12664-023-01374-4. Epub 2023 Jun 6.
5
Diagnostic performance and safety of endoscopic ultrasound-guided fine-needle aspiration/biopsy for gallbladder lesions.内镜超声引导下细针抽吸/活检术诊断胆囊病变的性能和安全性。
Dig Endosc. 2024 Feb;36(2):206-214. doi: 10.1111/den.14576. Epub 2023 May 26.
6
Prognostic impact of proximal ductal margin status in perihilar cholangiocarcinoma according to the presence or absence of lymph node metastasis.根据有无淋巴结转移，近端胆管边缘状态对肝门周围胆管癌的预后影响。
Surgery. 2023 Jul;174(1):11-20. doi: 10.1016/j.surg.2023.03.013. Epub 2023 Apr 27.
7
A Comparative Study of Endoscopic Ultrasound Fine-Needle Aspiration (EUS-FNA) and Endoscopic Retrograde Cholangiopancreatography (ERCP)-Based Brush Cytology for Tissue Diagnosis in Malignant Biliary Obstruction.内镜超声引导下细针穿刺活检（EUS-FNA）与基于内镜逆行胰胆管造影（ERCP）的刷检细胞学检查在恶性胆管梗阻组织诊断中的比较研究
Cureus. 2022 Oct 14;14(10):e30291. doi: 10.7759/cureus.30291. eCollection 2022 Oct.
8
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Surg Endosc. 2023 Apr;37(4):2566-2573. doi: 10.1007/s00464-022-09744-3. Epub 2022 Nov 7.
9
The usefulness of endoscopic ultrasound in the diagnosis of gallbladder lesions.内镜超声在胆囊病变诊断中的应用价值。
Front Med (Lausanne). 2022 Aug 29;9:957557. doi: 10.3389/fmed.2022.957557. eCollection 2022.
10
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Endosc Ultrasound. 2022 Sep-Oct;11(5):401-406. doi: 10.4103/EUS-D-21-00185.