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胰岛素瘤定位诊断方法的探讨
引用本文:王雪飞,刘荣,胡明根,唐劲草. 胰岛素瘤定位诊断方法的探讨[J]. 腹腔镜外科杂志, 2009, 14(4)
作者姓名:王雪飞  刘荣  胡明根  唐劲草
作者单位:中国人民解放军总医院,北京,100853
摘    要:目的:探讨各种影像学检查在胰岛素瘤定位诊断中的应用价值。方法:2007年6月至2008年7月我院收治35例胰岛素瘤患者,总结其临床特点并对比研究其影像学定位诊断方法。结果:B超检查准确率28.6%,CT检查准确率60.6%,MRI检查准确率69.2%,数字减影血管造影(digital subtraction angiography,DSA)检查准确率73.3%,内镜超声检查准确率70%,超声造影检查准确率73.9%,腹腔镜术中超声检查准确率87.8%。结论:在胰岛素瘤的微创治疗中,腹腔镜术中超声检查有利于发现和定位肿瘤,并确保手术安全顺利的实施。术前合理联合应用多种影像学方法有助于肿瘤的定位诊断。

关 键 词:胰岛素瘤  定位诊断  腹腔镜超声  术中超声

Research in localization diagnosis of insulinoma
WANG Xue-fei,LIU Rong,HU Ming-gen,et al.. Research in localization diagnosis of insulinoma[J]. Journal of Laparoscopic Surgery, 2009, 14(4)
Authors:WANG Xue-fei  LIU Rong  HU Ming-gen  et al.
Affiliation:WANG Xue-fei,LIU Rong,HU Ming-gen,et al.Dept.of Hepatobiliary Surgery,the General Hospital of PLA,Beijing 100853,China
Abstract:Objective:To evaluate the methods of imageology in identification and localization of pancreatic insulinomas.Methods:The clinical data of 35 patients with insulinoma underwent surgical treatment in our institution from Jun.2007 to Jul.2008 were reviewed retrospectively.The presenting symptoms,biochemical studies,preoperative and intraoperative localization studies were analyzed.Different methods of localization diagnosis in insulinomas were compared with each other.Results:The preoperative accurate rates of...
Keywords:Insulinomas  Localization diagnosis  Laparoscopic ultrasound  Intraoperative ultrasound  
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