超聲內鏡引導下細針穿刺活檢在胰腺腫瘤診斷中的應用價值

超聲內鏡引導下細針穿刺活檢在胰腺腫瘤診斷中的應用價值

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1、授予單位代碼10089學號或申請?zhí)?0153115中國圖書分類號R445.1HebeiMedicalUniversityHebeiMedicalUniversity碩士學位論文專業(yè)學位超聲內鏡引導下細針穿刺活檢在胰腺腫瘤診斷中的應用價值研究生:張君導師:趙東強教授專業(yè):內科學二級學院:河北醫(yī)科大學第二醫(yī)院2018年3月目錄中文摘要·····························································································

2、···············1英文摘要············································································································2英文縮寫············································································································3研究論文超聲內鏡引導下細針穿刺活檢

3、在胰腺腫瘤診斷中的應用價值前言············································································································4材料與方法································································································4結果·······························

4、·············································································6附圖············································································································8附表····································································

5、······································10討論··········································································································12結論··········································································································1

6、5參考文獻··································································································15綜述超聲內鏡在消化系疾病診治中的應用進展····································19致謝······························································································

7、····················28個人簡歷··········································································································29中文摘要超聲內鏡引導下細針穿刺活檢在胰腺腫瘤診斷中的應用價值摘要目的:探討超聲內鏡引導下細針穿刺活檢(EUS-FNA)對胰腺腫瘤的診斷價值。方法:通過檢索河北醫(yī)科大學第二醫(yī)院消化內鏡室數(shù)據(jù)庫,篩選出自2015年9月至2017年12月行超聲內鏡檢查的1

8、5例患者,其行超聲內鏡檢查前經常規(guī)影像學檢查手段(CT,MRI或B超)懷疑為胰腺占位性病變。其中,男9例,女6例,年齡33-80歲。穿刺所得樣本送病理涂片、液基細胞學以及組織病理學檢查。胰腺囊性病變所得囊液送腫瘤標志物檢測。確診依據(jù)穿刺病理學和細胞學檢查結果或隨訪結果。結果:超聲穿刺15例患者中,11例獲得陽性病理結果,4例穿刺病理結果為陰性,EUS-FNA在診斷胰腺腫瘤

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