中国实用外科杂志 ›› 2010, Vol. 30 ›› Issue (05): 340-342.
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谢晓燕,徐作峰
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摘要:
胆胰系统复杂的解剖结果使得胆胰结合部病变的术前诊断及鉴别诊断存在一定的困难。然而,对胆胰结合部病变的早期发现及诊断,以及对壶腹周围癌的准确分期对治疗计划的制定及预后判断至关重要。将高频超声探头放置于内镜前端,可以直接通过胃及十二指肠近距离接触胰腺及胆道,可以提高壶腹周围癌术前分期的准确性及病灶检出率,尤其对于普通超声甚至CT或MRI均不能发现的小病灶的检出及定性诊断价值更高。
关键词: 超声内镜, 胆胰结合部病变, 壶腹周围癌
Abstract:
Value and evaluation of EUS diagnosis of pancreaticobiliary junction lesions XIE Xiao-yan, XU Zuo-feng. Ultrasound, the First Affiliated Hospital of Sun Yat-sen, Guangzhou 510080,China Corresponding author:XIE Xiao-yan, E-mail:xxy1992@21cn.com Abstract The complex anatomy of the pancreatico-biliary system makes postoperative differential diagnosis of malignancy from benign diseases at this region difficult. Thus,early detection and diagnosis of pancreatico-biliary diseases and accurate staging of periampullary carcinoma are essential for therapy planning and for identification of prognosis. The ability to set the high frequency endoscopic ultrasound transducer at the anterior part of endoscopy in stomach and duodenum and direct proximity to the pancreas and the bile duct, enables accurate preoperative staging of periampullary carcinoma and improves the detection rate of lesions, especially when lesion is too small to be characterized and found by conventional ultrasonography, even by CT or MRI.
Key words: endoscopic ultrasonography , pancreatico-biliary disease, periampullary carcinoma
谢晓燕,徐作峰. 超声内镜诊断胆胰结合部病变价值与评价[J]. 中国实用外科杂志, 2010, 30(05): 340-342.
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