【摘要】 目的探讨胰岛细胞瘤的诊断和治疗方法。方法回顾性分析33例胰岛细胞瘤的临床资料。结果诊断采用CT,MRI,SAOG,术前B超,IRI/G和术中B超(IOUS),敏感性分别为64.71%,50%,42.86%,15.38%,94.74%和100%。术前确诊率54.55%,手术探查的阳性率为90.91%;治疗采用肿瘤局部摘除术24例,远段胰腺切除术9例。治愈率为90.91%,并发症发生率33.33%,病死率3.03%。结论术中触诊联合IOUS基本上可定位诊断;根据胰岛细胞瘤的大小、部位、数目采取适宜的手术方式是获得良好疗效的关键。更多还原

【Abstract】 Objective To investigate the diagnosis and treatment of insulinoma.Methods The clinical data of 33 patients with insulinoma were retrospectively analysed.Results The sensitivity of tumor localization with computed tomography scan(CT),magnetic resonance imaging(MRI),selective angiography(SAOG),preoperative ultrasonography(US),IRI/G and intraoperative ultrasonography(IOUS),was 64.71%,50%,42.86%,15.38%,94.74% and 100%,respectively.The pre-operative diagnosis rate was 54.55% in this series.Intraoperative positive palpation rate was 90.91%.Surgical enucleation was performed in 24 cases and distal pancreatectomy in 9 cases.The cure rate was 90.91%,the surgical complication rate was 33.33%,and the surgical mortality rate was 3.03%.Conclusions The topogaphic diagnosis by a combination of intraoperative palpation and IOUS is essential for selection of surgical treatment modalities and successful therapeutic efficacy in patients with insulinoma.更多还原