胰岛素瘤的术中超声检查：初步经验
Intraoperative ultrasonography for insulinoma: a preliminary experience.
作者信息
Agarwal A, Mishra S K, Baijal S S, Agarwal G
机构信息
Department of Surgical Endocrinology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow.
出版信息
Indian J Gastroenterol. 1997 Apr;16(2):58-9.
BACKGROUND
A majority of insulinomas are benign and intrapancreatic. Because surgery is curative in 90% of cases, and almost 60% are not detected by preoperative imaging studies, precise intraoperative localization is essential. Recently, the use of high-resolution real-time ultrasonography has facilitated intraoperative detection.
METHODS
Intraoperative ultrasonography using a high-frequency probe was performed in four patients with biochemically proven insulinomas.
RESULTS
Ultrasonography helped to localize the insulinomas, and also helped in surgical decision-making by accurately documenting the relationship of the tumor to vital structures.
CONCLUSION
Besides its ability to find islet cell tumors, intraoperative ultrasonography also affects surgical decision-making.
背景
大多数胰岛素瘤是良性的且位于胰腺内。由于手术在90%的病例中可治愈，并且几乎60%的胰岛素瘤术前影像学检查无法检测到，因此精确的术中定位至关重要。最近，高分辨率实时超声检查的应用有助于术中检测。
方法
对4例经生化证实为胰岛素瘤的患者进行了使用高频探头的术中超声检查。
结果
超声检查有助于胰岛素瘤的定位，还通过准确记录肿瘤与重要结构的关系辅助手术决策。
结论
术中超声检查除了能够发现胰岛细胞瘤外，还会影响手术决策。
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