胰岛素瘤局部治疗方法的评价

中国医师进修杂志 Pub Date : 2001-07-15 DOI:10.3760/CMA.J.ISSN.1673-4904.2001.07.007

Li Huabin, Liu Junlai, L. Yuyou, W. Dong, Gui Xiaoyan, H. Jun

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引用次数: 0

摘要

目的探讨胰岛素瘤的各种定位方法，提高胰岛素瘤的定位率。方法1990年4月~ 1999年4月对28例经手术和病理证实的胰岛素瘤患者进行回顾性分析。术前诊断采用US、CT、MRI、DSA，术中诊断采用IOUS、PVS、touch，并对手术结果进行分析。结果超声定位率为28.6%，CT 32.2%， MRI 41.7%， DSA 50.0%，触摸82.1%，IOUS和PVS 92.3%。术前发生率高于术中发生率。结论术前诊断定位率较低，不需要反复检查，但术中诊断非常重要。欠条不仅提高了局部敏感性，而且降低了手术并发症的发生率。

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THE ASSESSMENT OF LOCALITIVE METHODS IN INSULINOMAS

Objective\ To detect all methods of localization in the insulinomas,and promote the rate of localization in insulinomas.Methods\ Between April 1990 and April 1999,28 patients of insulinomas that confirmed by operation and pathology.US,CT,MRI and DSA were used for preoperative diagnosis,IOUS,PVS and touching were used for intraoperative diagnosis,and analyzed the results of operation.Results\ The rates of localization were 28.6% with US,32.2% with CT,41.7% with MRI,50.0% with DSA,82.1% with touching,and 92.3% with IOUS and PVS.The rates of preoperative were higher than that intraoperative.Conclusion\ The rates of localization were so lower in preoperative diagnosis that did not be detected repeatedly,but intraoperative diagnosis was very vital.IOUS not only to promote the localizative sensitivity,but also to discrease the rates of operative complication.

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中国医师进修杂志

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