中华肝胆外科杂志
中華肝膽外科雜誌
중화간담외과잡지
CHINESE JOURNAL OF HEPATOBILIARY SURGERY
2011年
6期
451-454
,共4页
超声内镜%胰腺疾病%内镜治疗
超聲內鏡%胰腺疾病%內鏡治療
초성내경%이선질병%내경치료
Endoscopic ultrasonography%Pancreatic diseases%Therapeutic endoscopy
超声内镜检查原理与腹部超声相似,其区别只是将微型高频超声探头安装在内镜顶端,进行实时超声扫描.胰腺是腹膜后器官,由于EUS插入胃和十二指肠肠腔内扫查,可清晰显示胰腺结构.随着EUS的广泛应用和内镜附件发展,EUS在胰腺疾病微创治疗中的地位越来越高.EUS-FNA与注射技术、EUS-CPN、EUS介导放射粒子植入术和内镜超声引导下胰腺假性囊肿穿刺引流等治疗技术会逐步推广应用,成为继ERCP内镜治疗后胰腺疾病微创治疗的重要方法.
超聲內鏡檢查原理與腹部超聲相似,其區彆隻是將微型高頻超聲探頭安裝在內鏡頂耑,進行實時超聲掃描.胰腺是腹膜後器官,由于EUS插入胃和十二指腸腸腔內掃查,可清晰顯示胰腺結構.隨著EUS的廣汎應用和內鏡附件髮展,EUS在胰腺疾病微創治療中的地位越來越高.EUS-FNA與註射技術、EUS-CPN、EUS介導放射粒子植入術和內鏡超聲引導下胰腺假性囊腫穿刺引流等治療技術會逐步推廣應用,成為繼ERCP內鏡治療後胰腺疾病微創治療的重要方法.
초성내경검사원리여복부초성상사,기구별지시장미형고빈초성탐두안장재내경정단,진행실시초성소묘.이선시복막후기관,유우EUS삽입위화십이지장장강내소사,가청석현시이선결구.수착EUS적엄범응용화내경부건발전,EUS재이선질병미창치료중적지위월래월고.EUS-FNA여주사기술、EUS-CPN、EUS개도방사입자식입술화내경초성인도하이선가성낭종천자인류등치료기술회축보추엄응용,성위계ERCP내경치료후이선질병미창치료적중요방법.
The principle of Endoscopic Ultrasonography (EUS) is similar to abdominal ultrasonography. The difference between them is the installment of a high-frequency ultrasound miniature probe at the tip of the endoscope for real-time ultrasound scanning. The pancreas is a retroperitoneal organ. The insertion of the ultrasonic endoscope into the stomach and duodenum can clearly demonstrate the structure of the pancreas on ultrasound scanning. With the extensive application of EUS and development of endoscopic accessories, EUS is becoming more important and it plays an important role in the minimally invasive treatment of pancreatic diseases. EUS-FNA and injection technique, EUS-CPN,EUS-guided radiation seed implantation, endoscopic ultrasound-guided puncture and drainage of pancreatic pseudocyst broaden the application of EUS techniques. EUS will become another important minimally invasive endoscopic treatment for pancreatic diseases following ERCP.