摘要
本文对12例胰岛素瘤的诊断和治疗进行临床分析。认为Whipple三联症及胰岛素测定可作为定性诊断的主要依据;其治疗困难在于定位诊断,术中应用经胰十二指肠上、下动脉注入亚甲蓝,使肿瘤呈深蓝色改变的定位方法有助于术中寻找瘤体。作者应用此法行12例手术,无1例肿瘤遗漏。
The diagnosis and treatment of 12 insulinoma cases were analyzed in this paper. Whipple's triad and measurement of insulin are the basis for diagnosis of insulinoma, but the localization of insulinoma is difficult. By using injection of indicarminum into superior and inferior pancreaticoduodenal artery during opercation, the tumor mass were easily localized through the colour change to mazarine. Authors applied this means to twelve cases and none of the tumor was missed.
