胰岛素瘤的诊断和治疗(附15例报告)

THE DIAGNOSIS AND TREATMENT OF INSULINOMA (REPORT OF 15 CASES)

目的 总结胰岛素瘤的临床特点和诊治经验 ,讨论其诊治方法。方法 回顾性分析了我院 1989～ 1998年收治的 15例胰岛素瘤的临床表现和辅助检查等特点 ,并结合文献讨论胰岛素瘤诊治的有关问题。结果 15例患者均手术切除肿瘤 ,14例痊愈 ,1例术后 6个月死于肝衰。结论 胰岛素瘤宜早诊断早治疗 ,可手术切除而治愈。

Objective To discuss the diagnosis and treatment of insulinoma, clinical characteristics and summarize our experiences. Methods The clinical, operative and pathologic findings from 15 cases of insulinoma of in our hospital from 1989 to 1998 were retrospectively studied. Results All 15 patients recieved surgical treatment. Fourteen patients were cured and the 15th patient died from hepatic failure six months later. Conclusion Insulinoma should be diagnosed and treated as early as possible. It can be cured by resection of the tumor.