超声内镜引导下穿刺诊断胰腺结核1例  

Endoscopic ultrasound guided fine needle aspiration for diagnosis of pancreatic tuberculosis: Report of one case

作　　者：潘振国[1] 许莹[1] 潘峰[1] 李倩君[1] 

机构地区：[1]南京医科大学附属淮安第一医院(淮安市第一人民医院)消化内科,江苏省淮安市223300

出　　处：《世界华人消化杂志》2015年第30期4927-4930,共4页World Chinese Journal of Digestology

摘　　要：胰腺结核的发病率比较低,常常表现为胰腺占位或胰腺包块等,如患者既往无结核病史,常常误诊为胰腺肿瘤进行开腹探查后才确诊为胰腺结核,对患者创伤较大,超声内镜引导下细针穿刺可以取胰腺包块组织,进行病理检查,为确诊胰腺占位性疾病提供临床证据,且超声内镜穿刺相对于B超及计算机断层扫描(computed tomography)穿刺有准确率高,并发症少等优点.The incidence of pancreatic tuberculosis is low.Pancreatic tuberculosis often presents as a pancreatic mass.If patients have no history of tuberculosis,pancreatic tuberculosis is often misdiagnosed as a pancreatic tumor.Only after surgery it can be diagnosed correctly.Endoscopic ultrasonography guided fine needle aspiration（EUS-FNA） allows for biopsy of pancreatic tissue to conduct pathological examination,thus providing clinical evidence for the diagnosis of pancreas diseases.Compared with ultrasound and CT guided puncture,EUS-FNA has advantages of high accuracy and fewer complications.

关 键 词：超声胃镜 细针穿刺 胰腺包块 胰腺结核 

分 类 号：R525[医药卫生—内科学]