胰腺钩突部肿瘤行超声内镜引导下针吸活检术的体会  

Experience of endoscopic ultrasonography-guided fine needle aspiration for pancreatic uncinate process tumor

作　　者：朱欣[1] 杨建辉[1] 赵娟[1] 陈志良[1] 鲁葆春[1] Xin Zhu;Jian-hui Yang;Juan Zhao;Zhi-liang Chen;Bao-chun Lu(Department of Hepatobiliary and Pancreatic Surgery,Shaoxing People’s Hospital,Shaoxing,Zhejiang 312000,China)

机构地区：[1]绍兴市人民医院肝胆胰外科,浙江绍兴312000

出　　处：《中国内镜杂志》2021年第4期81-85,共5页China Journal of Endoscopy

基　　金：绍兴市公益性应用研究计划项目(No:2020A13031)。

摘　　要：目的分析超声内镜引导下针吸活检术(EUS-FNA)对胰腺钩突部肿瘤的诊断价值。方法回顾性分析13例胰腺钩突部肿瘤患者的临床资料,患者均行EUS-FNA。结果 13例患者中胰腺实质性肿瘤11例,胰腺囊性病变2例;11例实质性肿瘤患者中,获得组织学诊断4例(阳性率36.4%)、细胞学诊断10例(阳性率90.9%),术后并发症包括1例高淀粉酶血症和1例急性水肿性胰腺炎。2例囊性肿瘤患者均获得囊液,行细胞学及肿瘤标记物分析,无术后并发症发生。结论 EUS-FNA用于诊断胰腺钩突部肿瘤是安全有效的,但掌握其技术细节需通过经验的积累。Objective To assess the diagnostic value of endoscopic ultrasonography-guided fine needle aspiration(EUS-FNA)for pancreatic uncinate process tumor.Methods Clinical data of 13 patients with pancreatic uncinate process tumor,who had underwent EUS-FNA,were retrospectively analyzed.Results For the 11 cases of solid neoplasm,the positive rate of histology diagnosis was 36.4%(4/11),and the positive rate of cytology diagnosis was 90.9%(10/11).Post-operative complications included one case of hyperamylasemia and one case of acute adematous pancreatitis.For the 2 cases of cystic neoplasm,cystic fluid was obtained for the analysis of cytology and tumor marker.No post-operative complications were observed.Conclusion EUS-FNA is safe and efficient for the diagnosis of pancreatic uncinate process tumor.But mastering the technical details requires experience.

关 键 词：超声内镜 细针穿刺 胰腺钩突 胰腺肿瘤 诊断 

分 类 号：R735.9[医药卫生—肿瘤]