摘要
随着诊断技术的进步,近年来胰腺囊性病变(PCLs)的检出率逐渐升高,但其鉴别诊断一直是临床难点,误诊将给患者带来不必要的手术风险或影响预后。PCLs现有的诊断依据主要是临床表现、影像学检查、囊液分析等。内镜超声引导下细针型共聚焦激光显微内镜(EUS-nCLE)可实现对PCLs的实时体内组织学观察,目前研究已证明其可行性和优越性。本文对n CLE在PCLs中应用的研究进展作一概述。
With the progress of diagnostic techniques,the detection rate of pancreatic cystic lesions( PCLs) is increasing in recent years. However,the differential diagnosis has long been a difficult problem,and misdiagnosis might increase the unnecessary risk of surgical operation or influencing negatively the prognosis. Currently,diagnosis is mainly based on clinical manifestations,imaging studies and cystic fluid analysis. Endoscopic ultrasonography-guided needle-based confocal laser endomicroscopy( EUS-nCLE) is able to achieve real-time in vivo histological observation of PCLs. Growing evidences demonstrate its feasibility and superiority. In this article,research progresses of n CLE in PCLs were briefly reviewed.
作者
李璇璇
狄扬
郝思介
金忱
钟良
LI Xuanxuan;DI Yang;HAO Sijie;JIN Chen;ZHONG Liang(Department of Gastroenterology,Huashan Hospital,Fudan University,Shanghai,200040;Department of Pancreatic Surgery,Huashan Hospital,Fudan University,Shanghai,200040)
出处
《胃肠病学》
2018年第12期705-710,共6页
Chinese Journal of Gastroenterology
关键词
胰腺囊性病变
内镜超声
活组织检查
细针
共聚焦激光显微内镜
诊断
鉴别
Pancreatic Cystic Lesions
Endoscopic Ultrasonography
Biopsy, Fine-Needle
Confocal Laser Endomicroscopy
Diagnosis,Differential
