[胰岛素瘤诊断定位的价值]

[Value of diagnostic localization of insulinoma].

作者信息

Böttger T, Weber W, Beyer J, Junginger T

出版信息

Med Klin (Munich). 1989 Sep 15;84(9):415-20.

Abstract

The value of diagnostic localization of insulinoma The value of diagnostic localization statements are contradictory. Basing on our own patient material (n = 41) the preoperative localization of an insulinoma was correct with sonography in 57.7%, with computed tomography in 21.4%, with computed tomography with bolus injection of contrast medium in 73.3%, with angiography 63.9% and with percutaneous transhepatic portal vein catheterisation with selective test of hormones (PTP) in 76.9%. Intraoperative 38 of 41 insulinomas were palpable and twelve of 16 insulinomas were seen during intraoperative sonography. Although we palpate more than 90% of all insulinomas we support a preoperative diagnostic localization for easier intraoperative palpation.

摘要

胰岛素瘤诊断定位的价值关于诊断定位的价值表述相互矛盾。基于我们自己的患者资料（n = 41），胰岛素瘤术前超声定位的正确率为57.7%，计算机断层扫描为21.4%，静脉注射造影剂的计算机断层扫描为73.3%，血管造影为63.9%，经皮经肝门静脉置管并进行激素选择性检测（PTP）为76.9%。术中，41例胰岛素瘤中有38例可触及，16例胰岛素瘤中有12例在术中超声检查时被发现。尽管我们能触及90%以上的胰岛素瘤，但我们支持术前进行诊断性定位，以便术中更易于触及。