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胰腺囊性病变的内镜超声波:一个叙事性回顾

Lucía Guilabert¹, Sara Nikolìc², Enrique de-Madaria¹

¹Gastroenterology Department, Dr. Balmis General University Hospital, Instituto de Investigación Sanitaria y Biomédica de Alicante (ISABIAL), Alicante, Spain.

BMJ open gastroenterology

|September 25, 2025

概括

内镜超声波 (EUS) 对于评估胰腺囊性病变 (PCL) 和识别高风险病例至关重要. 本综述详细介绍了PCL的EUS方法,进展和管理策略.

科学领域:

胃肠病学胃肠病学
在瘤学瘤学.
医疗成像医学成像

背景情况:

由于先进的成像技术,越来越多地检测到偶然的胰腺囊性病变 (PCL).
内镜超声波 (EUS) 对于鉴定PCL和评估恶性潜在的特征至关重要.

研究的目的:

在评估PCL时审查EUS的关键方面.
涵盖各种EUS模式,治疗应用,局限性和未来的进展.
根据领先的科学协会,讨论PCL的管理策略.

主要方法:

使用EUS进行形态评估.
增强对比的成像和弹性图像学.
通过细针吸收 (FNA),细胞学和DNA测序来分析生物标志物.
组织学评估组织学评估
新兴技术,如共聚焦激光内分显微镜和人工智能.

主要成果:

通过EUS,可以对PCL进行详细的形态评估.
不同的EUS指导技术有助于PCL的风险分层.
正在开发用于PCL管理的治疗EUS模式.

结论:

在胰腺囊性病变的评估和管理中,EUS是基石.
技术进步正在提高EUS在PCL表征方面的能力.
标准化管理策略对于最佳的患者治疗结果至关重要.

关键词:

内镜超声波检测 (ENDOSCOPIC ULTRASONOGRAPHY) 是一种超声波检测,用于检测内镜超声波.胰腺的其他部分.胰腺疾病是什么

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