摘要
目前,自身免疫性胰腺炎(AIP)的诊断主要依靠影像学,虽然超声内镜(EUS)尚未纳入AIP的诊断标准,但随着研究的深入,其在AIP诊断中的价值越来越明显。EUS引导的穿刺活组织检查可以微创精准地取得组织学标本,而避免开腹活组织检查或不必要的外科手术,对于明确病理诊断具有独特优势。主要就EUS在AIP的诊断方面,包括常规EUS的图像特征、新的图像增强模式以及EUS引导的活组织检查技术进行了综述和评价。
At present,the diagnostic criteria for autoimmune pancreatitis（ AIP） mainly rely on imaging findings. As a type of imaging examination,endoscopic ultrasound（ EUS） has not been included in the diagnostic criteria for AIP. More and more studies have shown the value of EUS in the diagnosis of AIP. As an minimally invasive procedure,EUS-guided biopsy can accurately obtain histological samples and thus avoid open biopsy or unnecessary surgeries,and therefore,it shows unique advantages in clarifying pathological diagnosis. This article reviews the role of EUS in the diagnosis of AIP,including the features of EUS images,new image enhancement pattern,and EUS-guided biopsy.
作者
王雷
邹多武
李兆申
WANG Lei;ZOU Duowu;LI Zhaoshen(Department of Gastroenterology,Changhai Hospital,Second Military Medical University,Shanghai 200433,Chin)
出处
《临床肝胆病杂志》
CAS
北大核心
2018年第8期1609-1613,共5页
Journal of Clinical Hepatology
关键词
胰腺炎
超声内镜
活组织检查
细针
诊断
pancreatitis
endoscopic ultrasonography
biopsy,fine - needle
diagnosis
