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目的探索超声内镜(EUS)引导下无水酒精瘤内注射治疗胰岛素瘤的安全性及有效性。方法 1例反复低血糖发作的48岁女性患者,经实验室检查、EUS、EUS-细针吸(FNA)确诊为胰岛素瘤。行超声内镜引导下无水酒精瘤内注射治疗,共向瘤内注射98%无水酒精0.5 mL。结果患者术后未再有低血糖发作,实验室检查证实获得完全缓解,术后第6天患者出院。结论对于不能行外科手术治疗的患者,微创的超声内镜引导下无水酒精瘤内注射可作为一种选择
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更新时间：2015-05-25
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超声内镜引导下无水酒精瘤内注射治疗胰岛细胞瘤的观察研究
Observational study on endoscopic ultrasound ( EUS) -guided alcohol ablation of insulinoma
微创医学 201306期 页码：669-671+729
作者机构： 广西医科大学第一附属医院消化内科
基金信息：收稿日期: 2013-09-03
基金项目：广西自然科学基金(合同号:桂科自0728072)
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- 英文简介
- 参考文献
Objective To explore the efficacy and safety of endoscopic ultrasound ( EUS) -guided alcohol ablation of insulinoma． Method A 48-year-old woman was referred with typical symptoms of an insulinoma． Diagnosis was confirmed by laboratory findings，EUS，and EUS-guided FNA． EUS-guided alcohol injection was performed with a total of 0． 5mL 98% ethanol injected into the tumor． Ｒesults No further hypoglycemic episodes was observed after the treatment，laboratory test indicated completed remission，and the patient was discharged 6 days after operation． Conclusions Minimally invasive EUS-guided alcohol ablation may be an alternative for patients with insulinomas in whom surgery is not feasible．
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