内镜超声引导下细针穿刺活检术对胰腺占位病变的诊断价值  

Evaluation of EUS guided fine-needle aspiration in focal pancreatic lesion

作　　者：覃柳[1] 梁列新[1] 农兵[1] 张法灿[1] 潘咏[1] 邓梦婷[1] 黄守珍[1] 

机构地区：[1]广西壮族自治区人民医院消化内科,南宁530021

出　　处：《中国临床新医学》2011年第11期1045-1046,共2页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：目的探讨内镜超声引导下细针穿刺活检术(EUS-FNA)对胰腺占位病变的诊断价值。方法收集2009-05～2011-06因胰腺占位病变行EUS-FNA病人16例,回顾性总结分析EUS-FNA病理诊断的阳性率及穿刺活检的安全性。结果 EUS-FNA病理结果中,腺癌8例,假性乳头瘤状1例,胰腺导管内乳头状黏液瘤(IPMT)1例,炎性6例,阳性检出率为62.5%。其中4例行手术治疗,手术结果与EUS-FNA结果符合3例,符合率为75%。结论 EUS-FNA对胰腺占位的定性诊断具有较高的准确性及安全性。Objective To evaluate the role of endoscopic ultrasound-guided fine-needle aspiration （EUS- FNA） for diagnosis of focal pancreatic lesion. Methods 16 patients with focal pancreatic lesions who underwent EUS-FNA from May 2009 to June 2011 were retrospectively analyzed. Surgical-pathological result was used as the reference standard for diagnosis. Results Sixteen patients were diagnosed by EUS-FNA as adenccaroinomas （ n = 8 ）, pseudo-papillomas （ n = 1 ）, intraductal papillary mucinous tumor （ n = 1 ）,inflammation （n = 6）. The diagnostic sensitivity and accuracy of focal pancreatic lesion by EUS-FNA were 62. 5% and 75% respectively. Conclusion EUSFNA was an accurate and safe modality in diagnosis of fccal pancreatic lesion.

关 键 词：内镜超声引导下细针穿刺活检术 胰腺占位 

分 类 号：R73[医药卫生—肿瘤]