临床荟萃
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摘要: 胆道占位性病变是引起梗阻性黄疸的主要原因,但由于其位置特殊,传统的影像学诊断较为困难,超声内镜(EUS)利用消化道自然腔道,有效避开腹壁脂肪和肠道气体的干扰,使胆道系统呈现清晰的显像;尤其是近年来开展的EUS引导下的细针穿刺、造影增强超声内镜对胆道占位性病变有较高的诊断价值,在其鉴别诊断方面也发挥着越来越重要的作用。
关键词: 腔内超声检查, 活组织检查,  , 针吸, 胆管癌, 胆总管结石
Abstract: The spaceoccupying lesions of biliary tract is the main cause of obstructive jaundice. Because of the special location of the biliary system, traditional imaging is difficult to diagnose. Endoscopic ultrasonography (EUS) can effectively avoid the interference of abdominal fat and intestinal gas, and clearly show the biliary system. In recent years, EUS guided fine needle aspiration and contrastenhanced endoscopic ultrasonography techniques have high diagnostic value in the spaceoccupying lesions of biliary tract and play an important role in the differential diagnosis of biliary tract diseases.
Key words: endosonography, biopsy, , needle, cholangiocarcinoma, bile duct stones
张迪, 冯志杰, 赵东强. 超声内镜对胆道占位性病变的诊断价值[J]. 临床荟萃, doi: 10.3969/j.issn.1004-583X.2019.09.004.
Zhang Di, Feng Zhijie, Zhao Dongqiang. Diagnostic value of endoscopic ultrasonography for spaceoccupying lesions of biliary tract[J]. Clinical Focus, doi: 10.3969/j.issn.1004-583X.2019.09.004.
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链接本文: https://huicui.hebmu.edu.cn/CN/10.3969/j.issn.1004-583X.2019.09.004
https://huicui.hebmu.edu.cn/CN/Y2019/V34/I9/785