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内镜超声引导下细针穿刺活检术对胰腺占位病变的诊断价值
覃 柳,梁列新,农 兵,张法灿,潘 咏,邓梦婷,黄守珍
530021 南宁,广西壮族自治区人民医院消化内科
摘要:
[摘要] 目的 探讨内镜超声引导下细针穿刺活检术(EUS-FNA)对胰腺占位病变的诊断价值。方法 收集2009-05~2011-06因胰腺占位病变行EUS-FNA病人16例,回顾性总结分析EUS-FNA病理诊断的阳性率及穿刺活检的安全性。结果 EUS-FNA病理结果中,腺癌8例,假性乳头瘤状1例,胰腺导管内乳头状黏液瘤(IPMT)1例,炎性6例,阳性检出率为62.5%。其中4例行手术治疗,手术结果与EUS-FNA结果符合3例,符合率为75%。结论 EUS-FNA对胰腺占位的定性诊断具有较高的准确性及安全性。
关键词:  内镜超声引导下细针穿刺活检术  胰腺占位
DOI:10.3969/j.issn.1674-3806.2011.11.13
分类号:R 73
基金项目:
Evaluation of EUS guided fine-needle aspiration in focal pancreatic lesion
QIN Liu,LIANG Lie-xin,Nong Bing,et al.
Department of Gastroenterology,the People′s Hospital of Guangxi Zhuang Autonomos Region,Nanning 530021,China
Abstract:
[Abstract] Objective To evaluate the role of endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) for diagnosis of focal pancreatic lesion.Methods 16 patients with focal pancreatic lesions who underwent EUS-FNA from May 2009 to June 2011 were retrospectively analyzed. Surgical-pathological result was used as the reference standard for diagnosis.Results Sixteen patients were diagnosed by EUS-FNA as adenocarcinomas (n=8),pseudo-papillomas (n=1),intraductal papillary mucinous tumor (n=1),inflammation (n=6).The diagnostic sensitivity and accuracy of focal pancreatic lesion by EUS-FNA were 62.5% and 75% respectively.Conclusion EUS-FNA was an accurate and safe modality in diagnosis of focal pancreatic lesion.
Key words:  Endoscopic ultrasound-guided fine needle aspiration  Focal pancreatic lesion