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目的 为了获得病理组织学诊断慢性胰腺炎 ,根据临床表现、影像学和外分泌功能检查临床疑为慢性胰腺炎的 4 7例患者 ,采用超声内镜引导下对胰腺行细针穿刺取得组织而进行病理学诊断。方法 4 7例患者 ,男 2 8例、女 19例 ,年龄 4 7～ 6 9岁 ,平均 5 2 .3岁 ,病程在 3～ 2 1年之间 ,平均 6 .3年 ,临床疑为慢性胰腺炎、胰腺占位病变 ,并进行了相应的N 苯甲酰 L酪氨酰对氨苯甲酸 (BT PABA)试验、大便苏丹Ⅲ染色及胰腺CT检查的患者行超声内镜引导下细针穿刺 (EUS FNA) ,取得组织 ,进行病理学诊断。结果 4 7例患者中 ,EUS FNA的病理组织学诊断慢性胰腺炎为 31例 (31/ 4 7、6 9% )。结论 通过EUS FNA进行病理学诊断 ,解决了以往慢性胰腺炎只有临床诊断没有病理诊断难题 ,从而为临床提供了诊断慢性胰腺炎的有效方法。
Objective To obtain histopathological diagnosis of chronic pancreatitis, according to clinical manifestations, imaging and exocrine function of 47 patients with clinical suspected chronic pancreatitis, under the guidance of ultrasound endoscopic fine needle aspiration of the pancreas tissue and disease Neutrino diagnosis. Methods 47 patients, 28 males and 19 females, aged 47 to 69 years old, with an average of 52.3 years of age, the course of disease in the 3 ~ 21 years, an average of 6.3 years, the clinical suspicion of chronic Pancreatitis and pancreatic space occupying lesion. The corresponding BT PABA test was performed. Stool Sudan Ⅲ staining and pancreatic CT examination were performed with endoscopic ultrasonography guided fine needle aspiration (EUS FNA), obtain tissue, pathological diagnosis. Results Of the 47 patients, 31 cases (31/47, 69%) had pathological diagnosis of chronic pancreatitis by EUS FNA. Conclusions Pathological diagnosis by EUS FNA solves the problem that there is no pathological diagnosis in clinical diagnosis of chronic pancreatitis, thus providing an effective clinical diagnosis of chronic pancreatitis.