CAJ | 학술논문

目的探讨超声造影、增强CT和MRI对胰岛素瘤术前定位诊断的价值.方法回顾性分析31例有明确术后病理诊断的胰岛素瘤患者的影像学资料.在术前31例患者均进行了超声造影检查,30例进行了增强CT检查,28例进行了MRI检查.结合手术病理结果,比较分析以上3种影像学方法对胰岛素瘤术前诊断的价值.结果超声造影、增强CT及MRI对胰岛素的检出率分别为96.8%、63.3%、96.2%,超声造影高于增强CT(P=0.0018),与MRI结果一致(P=0.1828).结论超声造影诊断胰岛素瘤的准确率较高,在胰岛素瘤的术前诊断中具有较大潜力.
목적 탐토초성조영、증강CT화MRI대이도소류술전정위진단적개치.방법 회고성분석31례유명학술후병리진단적이도소류환자적영상학자료.재술전31례환자균진행료초성조영검사,30례진행료증강CT검사,28례진행료MRI검사.결합수술병리결과,비교분석이상3충영상학방법대이도소류술전진단적개치.결과 초성조영、증강CT급MRI대이도소적검출솔분별위96.8%、63.3%、96.2%,초성조영고우증강CT(P=0.0018),여MRI결과일치(P=0.1828).결론 초성조영진단이도소류적준학솔교고,재이도소류적술전진단중구유교대잠력.
Objective To analysis the diagnostic value of several imaging modalities in the preoperative localization of insulinoma.Methods The imaging findings of 31 insulinoma cases with a definite pathological diagnosis were retrospectively reviewed.Before operation,31 cases had contrastenhanced ultrasonography(CEUS),30 cases had enhanced-CT examination and 28 cases had MRI examination.Combining the surgery and pathology results,three imaging modalities were compared to evaluate their preoperative diagnosis value for insulinoma.Results The detection rates of CEUS,enhanced CT and MRI were 96.8 %,63.3%,82.4%,respectively.The detection rate of CEUS was higher than enhanced-CT(P=0.0018)and correlated with MRI(P=0.1828).Conclusions CEUS has great potential in the preoperative diagnosis of insulinoma.