| 内镜超声与选择性腹腔动脉造影用于胰岛素瘤定位诊断的比较 |
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| 引用本文： | 王国君,窦京涛,王志强,陆菊明. 内镜超声与选择性腹腔动脉造影用于胰岛素瘤定位诊断的比较[J]. 中国实用内科杂志, 2006, 26(22): 1829-1830 |
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| 作者姓名： | 王国君 窦京涛 王志强 陆菊明 |
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| 作者单位： | 1. 内蒙古包头市医学院第二附属医院内分泌科,内蒙古,包头,014030
2. 解放军总医院内分泌科,北京,100853 |
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| 摘 要： | 目的比较内镜超声(EUS)和选择性腹腔动脉造影(DSA)在胰岛素瘤定位诊断中的价值。方法2000—2005年解放军总医院收治的23例胰岛素瘤患者术前均行腹部超声(US)、螺旋CT检查,其中17例行EUS检查、18例行DSA检查,比较各种方法对胰岛素瘤的定位准确率。结果各种方法阳性检出率为US13.3%、CT50%、EUS73.9%、DSA80%,EUS阳性率明显高于US及CT(P<0.01),与DSA相近(P=0.629)。结论EUS检查对胰岛素瘤的定位准确率接近DSA,是一种无创、有效、简单、易推广的诊断方法。
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| 关 键 词： | 内镜超声 胰岛素瘤,定位诊断 |
| 文章编号： | 1005-2194(2006)22-1829-02 |
| 修稿时间： | 2006-07-06 |
Comparison of endoscopic ultrasonography and digital subtracation angiography in localization of insulinomas |
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| WangGuojun,Dou Jingtao,Wang Zhiqiang,et al.. Comparison of endoscopic ultrasonography and digital subtracation angiography in localization of insulinomas[J]. Chinese Journal of Practical Internal Medicine, 2006, 26(22): 1829-1830 |
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| Authors: | WangGuojun Dou Jingtao Wang Zhiqiang et al. |
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| Affiliation: | WangGuojun*,Dou Jingtao,Wang Zhiqiang,et al.*Departmant of Endocrinology,PLA General Hospital,Beijing 100853,China |
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| Abstract: | Objective To compare the value of EUS and DSA in the preopreation localization of insulinomas.Methods Twenty-three cases were examined by ultrasonography(US)and spiral computed tomography(CT),of whom 17 cases were examined by endoscopic ultrasonography(EUS),18 cases were examined by digital subtracation angiography(DSA).The preoperative accurate rates of localizing insulinomas were compared among four methods.Results The detective rate of four methods was 13.3% of US,50.0% of CT,73.9% of EUS and 80.0% of DSA.The sensitivity of EUS was significantly higher than US and CT(P<0.001)and approximate to that of DSA(P=0.629).Conclusion EUS is a sensitive and easy detective method for insulinoma.It is a valuable site-specific method. |
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| Keywords: | Endoscopic ultrasonography Insulinomas localization diagnosis |
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