超声内镜检查在胰头占位性病灶中的诊断价值

摘要

The differential diagnosis of pancreatic head mass has been clinical difficulties.Endoscopic ultrasonography is now recognized as one of the sensitive and effective methods for the diagnosis of pancreatic diseases.This paper discusses the diagnostic performance of endo-scopic ultrasonography for various common types of pancreatic head mass,as well as the radiological features of this disease,reviews the di-agnostic value and safety of endoscopic ultrasonography-guided fine needle aspiration for pancreatic head mass,and briefly introduces the advances in the application of additional new techniques of endoscopic ultrasonography for this disease.Finally,it is pointed out that endo-scopic ultrasonography has a high diagnostic value for pancreatic head mass.%胰头占位性病灶的诊断及鉴别是临床的难点，超声内镜是目前公认敏感、有效的胰腺疾病检查方法之一。介绍了超声内镜在各种临床常见的胰头占位性病变的影像特征和诊断效能，评述了超声内镜引导下的细针穿刺术在胰头占位性病变中的诊断价值和安全性，简述了超声内镜附加新技术在胰头占位性病变的应用进展。最后指出，内镜超声检查对胰头占位性病灶具有较高的诊断价值。