超声内镜引导下穿刺诊断胰腺结核1例

Endoscopic ultrasound guided fine needle aspiration for diagnosis of pancreatic tuberculosis: Report of one case

胰腺结核的发病率比较低,常常表现为胰腺占位或胰腺包块等,如患者既往无结核病史,常常误诊为胰腺肿瘤进行开腹探查后才确诊为胰腺结核,对患者创伤较大,超声内镜引导下细针穿刺可以取胰腺包块组织,进行病理检查,为确诊胰腺占位性疾病提供临床证据,且超声内镜穿刺相对于B超及计算机断层扫描(computed tomography)穿刺有准确率高,并发症少等优点.

The incidence of pancreatic tuberculosis is low.Pancreatic tuberculosis often presents as a pancreatic mass.If patients have no history of tuberculosis,pancreatic tuberculosis is often misdiagnosed as a pancreatic tumor.Only after surgery it can be diagnosed correctly.Endoscopic ultrasonography guided fine needle aspiration（EUS-FNA） allows for biopsy of pancreatic tissue to conduct pathological examination,thus providing clinical evidence for the diagnosis of pancreas diseases.Compared with ultrasound and CT guided puncture,EUS-FNA has advantages of high accuracy and fewer complications.