超声内镜引导下细针穿刺活检在胰腺肿瘤诊断中的应用价值

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1、授予单位代码10089学号或申请号20153115中国图书分类号R445.1HebeiMedicalUniversityHebeiMedicalUniversity硕士学位论文专业学位超声内镜引导下细针穿刺活检在胰腺肿瘤诊断中的应用价值研究生：张君导师：赵东强教授专业：内科学二级学院：河北医科大学第二医院2018年3月目录中文摘要·····························································································

2、···············1英文摘要············································································································2英文缩写············································································································3研究论文超声内镜引导下细针穿刺活检

3、在胰腺肿瘤诊断中的应用价值前言············································································································4材料与方法································································································4结果·······························

4、·············································································6附图············································································································8附表····································································

5、······································10讨论··········································································································12结论··········································································································1

6、5参考文献··································································································15综述超声内镜在消化系疾病诊治中的应用进展····································19致谢······························································································

7、····················28个人简历··········································································································29中文摘要超声内镜引导下细针穿刺活检在胰腺肿瘤诊断中的应用价值摘要目的：探讨超声内镜引导下细针穿刺活检（EUS-FNA）对胰腺肿瘤的诊断价值。方法：通过检索河北医科大学第二医院消化内镜室数据库，筛选出自2015年9月至2017年12月行超声内镜检查的1

8、5例患者，其行超声内镜检查前经常规影像学检查手段（CT，MRI或B超）怀疑为胰腺占位性病变。其中，男9例，女6例，年龄33-80岁。穿刺所得样本送病理涂片、液基细胞学以及组织病理学检查。胰腺囊性病变所得囊液送肿瘤标志物检测。确诊依据穿刺病理学和细胞学检查结果或随访结果。结果：超声穿刺15例患者中，11例获得阳性病理结果，4例穿刺病理结果为阴性，EUS-FNA在诊断胰腺肿瘤