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为探索术中判定胰岛素瘤切除彻底性的指标，测定了术中切除肿瘤后１５、３０、４５、６０、７５ｍｉｎ及术后１～６天血糖（Ｇ）及血清胰岛素（ＩＲＩ）水平，并与术前比较。结果表明，术中切除肿瘤后３０ｍｉｎ，１９例血糖升至正常水平，１８例血清胰岛素降至正常水平，１８例ＩＲＩ／Ｇ＜０．３，术后１～６天，１９例空腹血糖、血清胰岛素均保持在正常水平，ＩＲＩ／Ｇ＜０．３，与术前比较差异均有显著性。提示术中快速测定血糖、血清胰岛素水平及二者比值，对判定胰岛素瘤是否完全切除是一种快速、有效、可靠的方法。
In order to explore the indicators of intraoperative excision of insulinoma, blood glucose (G) and serum insulin (IRI) levels were measured at 15, 30, 45, 60, and 75 min after surgery and 1-6 days after surgery. Preoperative comparison. The results showed that after 30 minutes of tumor resection, 19 cases of blood glucose rose to normal levels, 18 cases of serum insulin dropped to normal levels, 18 cases of IRI/G <0.3, 1 to 6 days after surgery, 19 cases of fasting blood glucose, serum Insulin was maintained at normal levels, with IRI/G < 0.3, which was significantly different from preoperative comparison. The prompt measurement of blood glucose, serum insulin and the ratio between the two methods is a fast, effective and reliable method to determine whether the insulinoma is completely resected.