胰岛素瘤10例诊治体会

A Clinical Study of Diagnosis and Therapy of Insulinoma (Ten Cases Report)

本文报告胰岛素瘤10例,其中恶性一例,9例经手术病理证实。结合病例讨论了胰岛素瘤的临床症状,诊断和定位检查及手术探查注意事项和术中监测,术后并发症等问题,并提出在术中找不到肿瘤时对可疑结节作细针穿刺检查及术中取门脾静脉测胰岛素浓度。

In this paper we repaort ten cases of Insulinoma (one malignant case), of which nine cases were verified by means of operation and pathology. The clinical manifestations, diagnosis, tumor location, interoperative supervission and postoperative complications, etc. were discussed in detail combined with the cases reported. Some insulinomas are difficult to find out in the course of the operation. A suggestion of using fine needle biopsy to detect the suspicious nods in pancreas and removing blood sample from the portal vein to detect the concentration of the insulin was advocated.