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超声内镜技术在胰腺癌诊断和治疗中的应用价值 预览

The role of endoscopic ultrasound technique in the diagnosis and treatment of pancreatic adenocarcinoma
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摘要 胰腺癌恶性程度极高,其诊断和治疗一直是临床工作的难点。螺旋CT、磁共振成像(magnetic resonanceimaging,MRI)和超声内镜(endoscopic ultrasound,EUS)是诊断胰腺癌的重要工具。随着EUS技术的不断完善,其在胰腺癌诊断中的作用和价值逐渐得到体现,特别是EUS引导下细针穿刺(EUS-guided fine needle aspiration,EUS-FNA),是目前获取胰腺病理的重要手段。此外,EUS在胰腺癌治疗中的地位也日益突出,EUS弹性成像(EUS elastography,EUS-EG)及造影增强EUS(contrast-enhanced EUS,CE-EUS)可以指导内科用药,EUS引导下的局部治疗也是胰腺癌综合治疗的重要组成部分。因此,该文回顾和评估了EUS技术在胰腺癌诊断和治疗中的价值,为EUS在胰腺癌中的应用提供参考。 With a high degree of malignancy,pancreatic adenocarcinoma is a difficulty in clinical work.Multislice spiral CT,magnetic resonance imaging(MRI)and endoscopic ultrasound(EUS)are important diagnostic methods for pancreatic adenocarcinoma.With the continuous improvement of EUS technology,the value of EUS technique in diagnosis of pancreatic adenocarcinoma is gradually increased,especially EUS-guided fine needle aspiration(EUS-FNA),an important method for pancreatic biopsy.In addition,EUS also plays a key role in the treatment of pancreatic adenocarcinoma.EUS elastography(EUSEG)and contrast-enhanced EUS(CE-EUS)can guide clinical administration of medication.EUS-guided therapy is also an important component in comprehensive treatment of pancreatic adenocarcinoma.Therefore,we reviewed and evaluated the role of EUS in the diagnosis and treatment of pancreatic adenocarcinoma.
作者 金凯舟 罗国培 黄秋依 杨秀疆 刘辰 虞先濬 JIN Kaizhou;LUO Guopei;HUANG Qiuyi;YANG Xiujiang;LIU Chen;YU Xianjun(Department of Pancreatic Surgery,Fudan University Shanghai Cancer Center,Pancreatic Cancer Institute,Fudan University,Shanghai Pancreatic Cancer Institute,Department of Oncology,Shanghai Medical College,Fudan University,Shanghai 200032,China;Department of Endoscopy,Fudan University Shanghai Cancer Center,Department of Oncology,Shanghai Medical College,Fudan University,Shanghai 200032,China)
出处 《中国癌症杂志》 CAS CSCD 北大核心 2019年第1期52-56,共5页 China Oncology
关键词 胰腺癌 超声内镜 弹性应变率 超声内镜引导下细针穿刺抽吸 诊断和治疗 Pancreatic adenocarcinoma Endoscopic ultrasound Strain ratio Endoscopic ultrasound-guided fine needle aspiration Diagnosis and treatment
作者简介 通信作者:虞先濬E-mail:yuxianjun@fudanpci.org
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