超声内镜对胰腺囊性肿瘤的诊断与治疗的应用进展

随着对胰腺囊性肿瘤认识的提高及影像学诊断仪器的普及,该病的检出率显著提高。由于胰腺囊性肿瘤种类繁多,病理分级可为良性、低度恶性及恶性,而且随着肿瘤体积的增大,病理分级也会不断改变。良性病变的准确诊断对于确定手术方式或内镜治疗的监测需求,以及避免对无潜在恶性的囊肿进行不必要的手术显得尤为重要。近年来,超声内镜(EUS)在胰腺囊性肿瘤的诊断及治疗方面取得了很大进展,本文综述了超声内镜对胰腺囊性肿瘤的诊断与治疗进展。

Advances in the diagnosis and treatment of pancreatic cystic tumors by endoscopic ultrasonography

The detection rate of pancreatic cystic neoplasms was significantly increased with the improvement of recognition and the popularity of imaging diagnostic instruments.Due to the wide variety of pancreatic cystic neoplasms,biological behaviors can be not only benign,low-grade and malignant, but also dynamic changes in the growth process of tumors with the increase in volume.Accurate diagnosis of benign lesions is of particular importance in determining the need for monitoring surgical or endoscopic treatment,and in avoiding unnecessary surgery for non-potentially malignant cysts.In recent years,ultra-sound endoscopy(EUS)has made great progress in the guidance evaluation and treatment of pancreatic cystic tumors. This paper summarizes the basic principles,main literature results,limitations and future prospects of each method.