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超声内镜在胃肠道间质瘤诊断中的应用进展

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胃肠道间质瘤(gastrointestinal stromal tumor,GIST)是具有恶性潜能的间质瘤,不同恶性风险的GIST选择不同的治疗策略,如监测随访、内镜治疗、手术切除或/和药物治疗.因此,GIST的早期诊断以及风险评估对选择合适的治疗方案十分重要.目前,随着内镜技术的广泛应用,超声内镜(endoscopic ultrasound,EUS)、超声内镜弹性成像(endoscopic elastic imaging,EUS-EG)、超声内镜谐波增强(contrast-enhanced harmonic endoscopic ultrasound,CH-EUS)、超声内镜引导下细针抽吸/活检(endoscopic ultrasound-guided fine-needle aspiration/biopsy,EUS-FNA/EUS-FNB)被应用于GIST的诊断以及风险评估.本文主要对以上检查方式在GIST中的应用进行阐述.
The application progress of endoscopic ultrasound in the diagnosis of gastrointestinal stromal tumor
The gastrointestinal stromal tumor(GIST)is a potentially malignant mesenchymal tumor.Different treat-ment strategies are selected for GIST with different malignant risks,such as follow-up,endoscopic therapy,surgical re-section or/and drug therapy.Therefore,early diagnosis and risk assessment of GIST are very important for the selection of treatment.Now,with the application of endoscopic techniques,endoscopic ultrasound(EUS),endoscopic elastic im-aging(EUS-EG),contrast-enhanced harmonic endoscopic ultrasound(CH-EUS),and endoscopic ultrasound-guided fine-needle aspiration/biopsy(EUS-FNA/EUS-FNB)have been applied in the diagnosis and risk assessment of GIST.Therefore,this article provided an overview of the application of the above checking methods in GIST.

Endoscopic ultrasoundElastic imagingContrast-enhanced harmonicFine needle biopsyGastroin-testinal stromal tumor

田英、操寄望

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武汉大学人民医院消化内科,湖北武汉 430060

超声内镜 弹性成像 谐波造影 细针活检 胃肠道间质瘤

2024

胃肠病学和肝病学杂志
郑州大学

胃肠病学和肝病学杂志

CSTPCD
影响因子:1.029
ISSN:1006-5709
年,卷(期):2024.33(3)
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