超声内镜检查在胆胰壶腹疾病诊断中的应用  

Application of endoscopic ultrasonography in the diagnosis of biliary and pancreatic ampullae diseases

作　　者：于文昊 任利[1] 王海久[1] 王志鑫[1] 孔繁玉 樊海宁[1] Yu Wenhao;Ren Li;Wang Haijiu;Wang Zhixin;Kong Fanyu;Fan Haining(Department of Hepatopancreatobiliary Surgery,Qinghai Research Key Laboratory for Echinococcosis,Affiliated Hospital of Qinghai University,Xining 810001,China)

机构地区：[1]青海大学附属医院肝胆胰外科、青海省包虫病研究重点实验室,西宁810001

出　　处：《中华消化外科杂志》2023年第12期1414-1418,共5页Chinese Journal of Digestive Surgery

基　　金：国家自然科学基金(82160466);青海省肝胆胰微创外科诊疗团队。

摘　　要：胆胰壶腹部疾病起病隐匿,尤其是肿瘤早期症状不明显,当患者出现黄疽等症状后病期已较晚。该区域影像学评估非常复杂,由于胆胰壶腹部疾病可表现出相似的影像学特征,加之该区域解剖复杂,组织结构紧密相邻,其临床症状有很多相似之处,导致定性诊断困难。因此,笔者拟对超声内镜检查在胆胰壶腹疾病诊断中的应用进行归纳总结,以期指导临床医师对于治疗方案的选择。The arising of biliary and pancreatic ampulla diseases is almost subtle,parti-cularly the symptoms are not readily apparent in the early stages,and patient condition become worse when jaundice and other symptoms manifest.This region′s imaging evaluation is highly intricate.There are significant similarities in the clinical symptoms of biliary and pancreatic ampulla disorders due to their similar imaging findings,complicated architecture,and close proximity to neighboring tissue structures,which make qualitative diagnosis difficult.In order to assist doctors in making treatment choices,the authors provide an overview of the application of endoscopic ultra-sound in the diagnosis of biliary and pancreatic ampulla diseases.

关 键 词：肝胰管壶腹 月胆胰疾病 超声内镜 诊断 应用 

分 类 号：R445.1[医药卫生—影像医学与核医学] R575[医药卫生—诊断学]