内镜超声检查对慢性胰腺炎的诊断价值
Diagnostic value of endoscopic ultrasonography for chronic pancreatitis
摘要
对于慢性胰腺炎(CP),无论是诊断还是治疗,仍是临床上的一个难题,特别是早期诊断.这是因为胰腺解剖部位特殊,其慢性炎症过程又较为隐匿,而目前常用的诊断方法均不够敏感,传统上一直把内镜逆行胰胆管造影(ERCP)作为诊断CP的"金标准",但对于没有引起主胰管改变的CP却很难检出;现有的胰腺外分泌功能检查既不敏感,特异性也不强,更不能作为早期诊断的依据.
出处
《胰腺病学》
2004年第3期136-138,共3页
Chinese JOurnal of Pancreatology
参考文献8
-
1Fritscher-Ravens A, Brand L, Knofel WT, et al. Comparison of endoscopic ultrasound-guided fine needle aspiration for focal pancreatic lesions in patients with normal parenchyma and chronic pancreatitis. Am J Gastroenterol, 2002,97:2768-2775.
-
2Sahai AV, Zimmerman M, Aabakken L, et al. Prospective assessment of the ability of endoscopic ultrasound to diagnose, exclude, or establish the severity of chronic pancreatitis found by endoscopic retrograde cholangiopancreatography. Gastrointest Endosc,
-
3Wiersema MJ, Hawes RH, Lehman GA, et al. Prospective evaluation of endoscopic ultrasonography and endoscopic retrograde cholangiopancreatography in patients with chronic abdominal pain of suspected pancreatic origin. Endoscopy, 1993,25:555-564.
-
4Zimmerman MJ, Mishra G, Lewin DN, et al. Comparison of EUS findings with histopathology in chronic pancreatitis (abstract). Gastrointest Endosc, 1997,45:AB185.
-
5Kahl S, Glasbrenner B, Leodolter A, et al. EUS in the diagnosis of early chronic pancreatitis: a prospective follow-up study. Gastrointest Endosc, 2002,55:507-511.
-
6Kloppel G, Maillet B. Chronic pancreatitis: evolution of the disease. Hepatogastroenterology, 1991,38:408-412.
-
7Walsh TN, Rode J, Theis BA, et al. Minimal change chronic pancreatitis. Gut, 1992, 33:1566-1571.
-
8Hollerbach S, Klamann A, Topalidis T, et al. Endoscopic ultrasonography(EUS) and fine-needle aspiration(FNA) cytology for diagnosis of chronic pancreatitis. Endoscopy, 2001,33:824-831.
-
1张齐联.内镜超声检查的现状与期望[J].中华消化内镜杂志,1998,15(4):195-197. 被引量:10
-
2年维东,翟洪涛,梁晋雨.超声内镜的临床应用[J].中华消化内镜杂志,1998,15(4):245-247. 被引量:18
-
3卫梅枝.上消化道内镜超声检查650例的配合技巧及护理[J].中国临床保健杂志,2008,11(6):657-658. 被引量:2
-
4福田守道,刘月洁.内镜超声的发展历史[J].引进国外医药技术与设备,1999(11):51-55.
-
5年卫东,张齐联.内镜超声检查20年回顾[J].中华消化内镜杂志,2002,19(4):197-198. 被引量:4
-
6杨力,吕农华.内镜超声在诊治食管静脉曲张中的价值[J].中华消化内镜杂志,2003,20(2):142-144. 被引量:4
-
7夏璐,刘慧黎.内镜超声检查在炎症性肠病中的应用[J].诊断学理论与实践,2008,7(6):595-598. 被引量:2
-
8郭瑾陶,孙思予.内镜超声临床应用的最新进展[J].医学与哲学(B),2016,37(3):14-18. 被引量:4
-
9程燕,张齐联,刘赓年,李松年.胃内疾病的内镜超声检查[J].国外医学(临床放射学分册),1993,16(2):65-67. 被引量:2
-
10杨秀疆,陈士葆.内镜超声检查对胰腺癌的诊断价值[J].中国新药与临床杂志,2004,23(1):54-56. 被引量:2