论文部分内容阅读
分析25例胰岛素瘤的临床表现，认为仍应以Whipple三项标准作为诊断依据，血糖值可定在3．333mmol／L以下。B超、CT对其定位诊断有一定价值，经皮肝穿刺脾静脉分段取血测定胰岛素与选择性动脉造影可提高定位的准确性。应及早手术治疗，强调术中应探查整个胰腺，切除全部肿瘤，术中血糖及胰岛素监测是判断肿瘤切除是否切底，预防多发性肿瘤遗漏的有效方法。
Analysis of the clinical manifestations of 25 cases of insulinoma, that the Whipple three criteria should still be used as a diagnostic basis, blood glucose value can be set at 3.333mmol / L or less. B-ultrasound and CT have certain value in the diagnosis of localization. Percutaneous hepatic puncture of splenic veins for blood sampling to determine insulin and selective angiography can improve the accuracy of localization. Surgical treatment should be performed as soon as possible, emphasizing that the entire pancreas should be explored during surgery and all tumors should be removed. Intraoperative blood glucose and insulin monitoring are effective methods to determine whether the tumor is resected and prevent multiple tumors from being missed.