诊断学理论与实践2025，Vol.24Issue(4)：365-372,8.DOI:10.16150/j.1671-2870.2025.04.002
超声内镜在血管介入诊疗中的研究进展
Research progress on endoscopic ultrasonography in vascular interventional diagnosis and therapy
摘要
Abstract
This study systematically reviews the advances in the application of endoscopic ultrasonography(EUS)in both portal and non-portal vascular interventions.EUS-guided sclerotherapy and coil embolization effectively occlude per-forating vessels in esophageal,gastric,and ectopic varices,significantly reducing recurrence rates—particularly in refrac-tory cases and patients with large shunt pathways.Moreover,EUS-guided portal pressure measurement achieves a technical success rate of 95%and demonstrates strong correlation with hepatic venous pressure gradient,showing potential as a non-invasive alternative.Meanwhile,EUS-guided fine-needle aspiration enables minimally invasive biopsy for definitive diag-nosis of portal vein thrombi,with no complications reported.In non-portal vascular interventions,EUS provides precise therapeutic solutions for refractory lesions by embolizing bleeding ulcers,pseudoaneurysms,and feeding vessels of gastroin-testinal stromal tumors.Although current evidence is predominantly derived from small-scale studies,the safety and effi-cacy of EUS-guided vascular intervention(EUS-VI)have been preliminarily validated.Future research should focus on large-scale randomized controlled trials to further evaluate and optimize technical standards,ultimately establishing EUS-VI as a first-line diagnostic and therapeutic option for vascular lesions.关键词
超声内镜/血管介入/门静脉高压/门静脉测压Key words
Endoscopic ultrasonography/Vascular intervention/Portal hypertension/Portal pressure measurement分类
医药卫生引用本文复制引用
程桂莲,史天择,胡端敏..超声内镜在血管介入诊疗中的研究进展[J].诊断学理论与实践,2025,24(4):365-372,8.基金项目
苏州市重大疾病多中心临床研究项目(DZXYJ202404) （DZXYJ202404）
放射医学与辐射防护国家重点实验室开放课题(GZK1202402) （GZK1202402）
苏州市科技发展计划项目(SYW2024002) （SYW2024002）
