摘要
目的:评价CT、DSA、超声内镜检查及联合2种检查对胰岛素瘤术前定位诊断的价值。方法:分析了2000￣2005年我院诊断胰岛素瘤并进行EUS、CT和DSA检查的共15位患者。所有患者最后都接受了手术治疗。结果:螺旋CT(平扫+增强)的病灶检出率为36.3%,EUS病灶检出率为72.7%,DSA病灶检出率为80.0%,EUS和CT联合的检出率为72.7%,统计学差异不显著。EUS和DSA联合的病灶检出率为93.3%,统计学差异显著。结论:EUS对胰岛素瘤的诊断有重要意义,联合EUS及DSA检查是检查胰岛素瘤的最有效手段。
Objective： To determine the value of CT, DSA, endoscopic ultra sonography （ EUS ）, and a combined protocol for preoperative detection of insulinomas. Methods ： We retrospectively studied data from 15 patients with insulinomas who underwent EUS, CT and DSA from 2000 to 2005. All patients were treated surgically. Results： The overall diagnostic sensitivity for helical CT was 36.3%. Endoscopic sonography and DSA showed sensitivity were 72.7% and 80.0% respectively. The overall diagnostic sensitivity for combined helical CT and endoscopic sonography was 72.7%, which was not statistically significant. The sensitivity for combined EUS and DSA was 93.3%, which was statistically significant. Conclusion： EUS is important to detect insulinomas,and the most effective method for revealing insulinomas is a combined imaging protocol that consists of both EUS and DSA.
出处
《重庆医科大学学报》
CAS
CSCD
2006年第2期253-255,共3页
Journal of Chongqing Medical University
关键词
超声内窥镜检查
胰岛素瘤
定位诊断
Endoscopic ultrasonography
Insulinoma
Diagnosis of localization
作者简介
郑蕾（1977-）,女,住院医师, 主要研究方向：胰岛素瘤的治疗.
