超声在急性胰腺炎诊治中的应用进展
DOI: 10.3969/j.issn.1001-5256.2022.12.037
利益冲突声明:所有作者均声明不存在利益冲突。
作者贡献声明:刘攀负责课题设计及论文撰写;郝亮、成雨、杨蓓蓓、魏勇、夏振红参与论文查阅及修改论文;于守君负责拟定写作思路,指导撰写文章并最后定稿。
Advances in the application of ultrasound in the diagnosis and treatment of acute pancreatitis
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摘要: 急性胰腺炎是消化系统常见的急腹症,以病因多、进展快为特征,早期诊断及治疗与患者的预后密不可分。在诸多影像学检查中,超声能实时、动态的对胰腺、胆道系统进行全面的扫查,在病因诊断、分级、治疗等方面发挥重要作用。本文就超声在急性胰腺炎的应用现状与前景作一概述,以期为临床急性胰腺炎诊治提供参考。Abstract: Acute pancreatitis is a common acute abdominal disease of the digestive system characterized by multiple etiologies and rapid progression, and early diagnosis and treatment are closely associated with the prognosis of patients. Among various radiological examinations, ultrasound can perform real-time dynamic comprehensive scans of the pancreas and the biliary system and thus plays an important role in etiological diagnosis, grading, and treatment. This article reviews the current status and prospects of ultrasound in acute pancreatitis, in order to provide a reference for the diagnosis and treatment of acute pancreatitis.
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Key words:
- Pancreatitis /
- Ultrasonography /
- Diagnosis /
- Therapeutics
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[1] PETROV MS, YADAV D. Global epidemiology and holistic prevention of pancreatitis[J]. Nat Rev Gastroenterol Hepatol, 2019, 16(3): 175-184. DOI: 10.1038/s41575-018-0087-5. [2] IANNUZZI JP, KING JA, LEONG JH, et al. Global incidence of acute pancreatitis is increasing over time: A systematic review and meta-analysis[J]. Gastroenterology, 2022, 162(1): 122-134. DOI: 10.1053/j.gastro.2021.09.043. [3] CHO J, PETROV MS. Pancreatitis, pancreatic cancer, and their metabolic sequelae: Projected Burden to 2050[J]. Clin Transl Gastroenterol, 2020, 11(11): e00251. DOI: 10.14309/ctg.0000000000000251. [4] BANKS PA, BOLLEN TL, DERVENIS C, et al. Classification of acute pancreatitis--2012: revision of the Atlanta classification and definitions by international consensus[J]. Gut, 2013, 62(1): 102-111. DOI: 10.1136/gutjnl-2012-302779. [5] Chinese Society for Emergency Medicine, Beijing-Tianjin-Hebei Alliance of Emergency Treatment and First Aid, Emergency Medicine Branch, Beijing Medical Association, et al. Expert consensus on emergency diagnosis and treatment of acute pancreatitis[J]. J Clin Hepatol, 2021, 37(5): 1034-1041. DOI: 10.3969/j.issn.1001-5256.2021.05.012.中华医学会急诊分会, 京津冀急诊急救联盟, 北京医学会急诊分会, 等. 急性胰腺炎急诊诊断及治疗专家共识[J]. 临床肝胆病杂志, 2021, 37(5): 1034-1041. DOI: 10.3969/j.issn.1001-5256.2021.05.012. [6] Pancreas Study Group, Chinese Society of Gastroenterology, Chinese Medical Association, Editorial Board of Chinese Journal of Pancreatology, Editorial Board of Chinese Journal of Digestion. Chinese guidelines for the management of acute pancreatitis (Shenyang, 2019)[J]. J Clin Hepatol, 2019, 35(12): 2706-2711. DOI: 10.3969/j.issn.1001-5256.2019.12.013.中华医学会消化病学分会胰腺疾病学组, 《中华胰腺病杂志》编委会, 《中华消化杂志》编委会. 中国急性胰腺炎诊治指南(2019年, 沈阳)[J]. 临床肝胆病杂志, 2019, 35(12): 2706-2711. DOI: 10.3969/j.issn.1001-5256.2019.12.013. [7] YADAV D, AGARWAL N, PITCHUMONI CS. A critical evaluation of laboratory tests in acute pancreatitis[J]. Am J Gastroenterol, 2002, 97(6): 1309-1318. DOI: 10.1111/j.1572-0241.2002.05766.x. [8] Expert Panel on Gastrointestinal Imaging, PORTER KK, ZAHEER A, et al. ACR appropriateness criteria® acute pancreatitis[J]. J Am Coll Radiol, 2019, 16(11S): S316-S330. DOI: 10.1016/j.jacr.2019.05.017. [9] SHI N, ZHANG LL, YANG YT, et al. Diagnostic value of abdominal color Doppler flow imaging and CT in acute pancreatitis[J]. J Mol Imaging, 2020, 43(4): 664-667. DOI: 10.12122/j.issn.1674-4500.2020.04.24.施娜, 章林丽, 杨艳婷, 等. 腹部彩色多普勒超声与CT对急性胰腺炎诊断的价值比较[J]. 分子影像学杂志, 2020, 43(4): 664-667. DOI: 10.12122/j.issn.1674-4500.2020.04.24. [10] GUPTA P, GUPTA J, KUMAR C, et al. Aggressive percutaneous catheter drainage protocol for necrotic pancreatic collections[J]. Dig Dis Sci, 2020, 65(12): 3696-3701. DOI: 10.1007/s10620-020-06116-6. [11] GUPTA P, BANSAL A, SAMANTA J, et al. Larger bore percutaneous catheter in necrotic pancreatic fluid collection is associated with better outcomes[J]. Eur Radiol, 2021, 31(5): 3439-3446. DOI: 10.1007/s00330-020-07411-6. [12] LI H, WU Y, XU C, et al. Early ultrasound-guided percutaneous catheter drainage in the treatment of severe acute pancreatitis with acute fluid accumulation[J]. Exp Ther Med, 2018, 16(3): 1753-1757. DOI: 10.3892/etm.2018.6398. [13] FOITZIK T, BASSI DG, SCHMIDT J, et al. Intravenous contrast medium accentuates the severity of acute necrotizing pancreatitis in the rat[J]. Gastroenterology, 1994, 106(1): 207-214. DOI: 10.1016/s0016-5085(94)95457-7. [14] LU Q, ZHONG Y, WEN XR, et al. Can contrast-enhanced ultrasound evaluate the severity of acute pancreatitis?[J]. Dig Dis Sci, 2011, 56(5): 1578-1584. DOI: 10.1007/s10620-010-1460-6. [15] FEI Y, LI WQ. Effectiveness of contrast-enhanced ultrasound for the diagnosis of acute pancreatitis: A systematic review and meta-analysis[J]. Dig Liver Dis, 2017, 49(6): 623-629. DOI: 10.1016/j.dld.2017.03.017. [16] SEZGIN O, YARAş S, ÖZDOǦAN O. The course and prognostic value of increased pancreas stiffness detected by ultrasound elastography during acute pancreatitis[J]. Pancreatology, 2021, 21(7): 1285-1290. DOI: 10.1016/j.pan.2021.07.006. [17] LIU P, YU SJ, CHENG Y. Advances in the application of endoscopic ultrasound in the diagnosis and treatment of liver cancer[J]. J Clin Hepatol, 2021, 37(8): 1934-1937. DOI: 10.3969/j.issn.1001-5256.2021.08.041刘攀, 于守君, 成雨. 内镜超声在肝癌诊治中的应用进展[J]. 临床肝胆病杂志, 2021, 37(8): 1934-1937. DOI: 10.3969/j.issn.1001-5256.2021.08.041 [18] KARA T, ATEş F, DURMAZ MS, et al. Assessment of thyroid gland elasticity with shear-wave elastography in Hashimoto's thyroiditis patients[J]. J Ultrasound, 2020, 23(4): 543-551. DOI: 10.1007/s40477-020-00437-y. [19] DURMAZ MS, ARSLAN S, ÖZBAKIR B, et al. Effectiveness of shear wave elastography in the diagnosis of acute pancreatitis on admission[J]. Med Ultrason, 2018, 20(3): 278-284. DOI: 10.11152/mu-1398. [20] KAYA M, DE ǦIRMENCI S, GÖYA C, et al. The importance of acoustic radiation force impulse (ARFI) elastography in the diagnosis and clinical course of acute pancreatitis[J]. Turk J Gastroenterol, 2018, 29(3): 342-347. DOI: 10.5152/tjg.2018.17338. [21] SUZUKI H, ISHIKAWA T, OHNO E, et al. An initial trial of quantitative evaluation of autoimmune pancreatitis using shear wave elastography and shear wave dispersion in transabdominal ultrasound[J]. Pancreatology, 2021, 21(4): 682-687. DOI: 10.1016/j.pan.2021.02.014. [22] SEZGIN O, YARAş S, ÖZDOǦAN O. Pancreatic steatosis is associated with both metabolic syndrome and pancreatic stiffness detected by ultrasound elastography[J]. Dig Dis Sci, 2022, 67(1): 293-304. DOI: 10.1007/s10620-021-06844-3. [23] KIM DB, PAIK CN, SONG DS, et al. The role of endoscopic ultrasonography and magnetic resonance cholangiopancreatography in patients with acute pancreatitis after negative computed tomography findings of the etiology[J]. Pancreas, 2018, 47(9): 1165-1171. DOI: 10.1097/MPA.0000000000001149. [24] PEREIRA R, ESLICK G, COX M. Endoscopic ultrasound for routine assessment in idiopathic acute pancreatitis[J]. J Gastrointest Surg, 2019, 23(8): 1694-1700. DOI: 10.1007/s11605-019-04272-3. [25] VALVERDE-LÓPEZ F, ORTEGA-SUAZO EJ, WILCOX CM, et al. Endoscopic ultrasound as a diagnostic and predictive tool in idiopathic acute pancreatitis[J]. Ann Gastroenterol, 2020, 33(3): 305-312. DOI: 10.20524/aog.2020.0464. [26] TRIKUDANATHAN G, WOLBRINK D, VAN SANTVOORT HC, et al. Current concepts in severe acute and necrotizing pancreatitis: An evidence-based approach[J]. Gastroenterology, 2019, 156(7): 1994-2007. e3. DOI: 10.1053/j.gastro.2019.01.269. [27] SAMANTA J, DHAR J, MUKTESH G, et al. Endoscopic drainage versus percutaneous drainage for the management of infected walled-off necrosis: a comparative analysis[J]. Expert Rev Gastroenterol Hepatol, 2022, 16(3): 297-305. DOI: 10.1080/17474124.2022.2047649. [28] SOUSA GB, MACHADO RS, NAKAO FS, et al. Efficacy and safety of endoscopic ultrasound-guided drainage of pancreatic pseudocysts using double-pigtail plastic stents: A single tertiary center experience[J]. Clinics (Sao Paulo), 2021, 76: e2701. DOI: 10.6061/clinics/2021/e2701. [29] YANG J, CHEN YI, FRIEDLAND S, et al. Lumen-apposing stents versus plastic stents in the management of pancreatic pseudocysts: a large, comparative, international, multicenter study[J]. Endoscopy, 2019, 51(11): 1035-1043. DOI: 10.1055/a-0759-1353.
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