目的 探讨胰腺良性微小肿瘤的术前及术中定位方法。方法 对1995年1月至2000年8月收治的12例直径 lt;2 cm的胰腺良性肿瘤定位方法进行分析。结果 术前B超、CT或MRI和动脉造影的诊断敏感性分别是16.7%、40.0%和87.5%。通过术中探查发现病灶7例(58.3%),其余5例借助于术中B超定位成功4例。结论 术中B超是目前最有价值的定位手段,而且还能提供病灶更详细的资料,对顺利完成手术、减少并发症有重要作用。在定位过程中注意操作细节可提高定位诊断的成功率。
Citation:
田伯乐,张肇达,胡伟明,罗志勇,袁朝新,严律南,蒋俊明. LOCALIZATION OF SMALL BENIGN TUMOR OF PANCREAS (REPORT OF 12 CASES). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2001, 8(6): 412-413. doi:
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- 1. 刘宁青,徐德龙,张伟强等. 胰岛素瘤手术探查与术中定位 〔J〕. 中国普通外科杂志, 1999; 8(3)∶239.
- 2. Demeure MJ,Klonoff DC,Karam JH,et al. Insulinomas associated with multiple endocrine neoplasia type1: the need for a different surgical approach 〔J〕.Surgery,1991; 110(6)∶998.
- 3. 秦保明主编.现代胰腺外科学 〔M〕. 第1版.开封: 河南大学出版社,1995∶68~71.
- 4. Boukhman MP, Karam JM, Shaver J,et al. Localization of insulinomas 〔J〕. Arch Surg, 1999; 134(8)∶818.
- 5. Buetow PC, Parrino TV, Buck JL, et al. Islet cell tumors of the pancreas: pathologicimaging correlation among size, necrosis and cyst, calcification, imaging, malignant behovior, and functional status 〔J〕. AJR, 1995; 165(5)∶1175.