超声内镜在特发性急性胰腺炎中的应用价值  

Application Value of Endoscopic Ultrasonography in Idiopathic Acute Pancreatitis

作　　者：张福桃 

机构地区：[1]内蒙古医科大学第一临床医学院,内蒙古 呼和浩特

出　　处：《临床医学进展》2024年第8期507-513,共7页Advances in Clinical Medicine

摘　　要：特发性急性胰腺炎(Idiopathic acute pancreatitis, IAP)是指除外饮酒、滥用药物等因素后,结合患者病史、体格检查、实验室检查及影像学检查仍无法明确病因的急性胰腺炎(acute pancreatitis, AP)。与CT和MRI相比,超声内镜(Endoscopic ultrasound, EUS)探头离胰腺距离近,可清楚观察胰腺结构,可作为内镜下逆行胰胆管造影(endoscopic retrograde cholangiopancreatography, ERCP),及磁共振胰胆管造影(magnetic resonance cholangiopancreatography, MRCP)等影像学检查及血钙、血脂、抗核抗体和IgG4等实验室检查诊断失败时的一种重要诊断工具。EUS与ERCP相比其并发症发生率低。目前EUS已发展成为评估胰胆疾病及指导治疗的重要检查方式。本文指在探讨了EUS在IAP中的临床应用价值。Idiopathic acute pancreatitis (Idiopathic acute pancreatitis, IAP) refers to acute pancreatitis (acute pancreatitis, AP) in which the etiology is still not clear in combination with patient history, physical examination, laboratory examination and imaging examination after excluding alcohol consumption, drug abuse and other factors. Compared with CT and MRI, endoscopic ultrasonography (Endoscopic ultrasound, EUS) probe is closer to the pancreas to clearly observe the structure of pancreas. It can be used as an important diagnostic tool for imaging examinations such as endoscopic retrograde cholangiopancreatography (endoscopic retrograde cholangiopancreatography, ERCP), magnetic resonance cholangiopancreatography (magnetic resonance cholangiopancreatography, MRCP) and laboratory tests such as serum calcium, blood lipids, antinuclear antibodies and IgG4 when the diagnosis fails. The incidence of complications in EUS is lower than that in ERCP. At present, EUS has developed into an important examination method to evaluate pancreaticobiliary diseases and guide treatment. This article discusses the clinical application value of EUS in IAP.

关 键 词：特发性急性胰腺炎 急性胰腺炎 超声内镜检查 

分 类 号：R57[医药卫生—消化系统]