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胰岛素瘤临床诊治体会
引用本文:黄陆强 孙卫东. 胰岛素瘤临床诊治体会[J]. 皖南医学院学报, 1997, 16(2): 129-131
作者姓名:黄陆强 孙卫东
作者单位:附属弋矶山医院普外科B超室
摘    要:我院近期诊治胰岛素瘤5例,手术3例,1例为多发性肿瘤。曾分别误诊为癫痫、感染性休克、颅内占位等。Whipple三联征与IRI/GS>0.3有定性诊断意义。多次B超检查结合CT重复扫描可帮助定位。手术无遗漏,效果满意。Santosdatin,Diamox及胰区放射治疗对术后胰瘘治疗效果明显。

关 键 词:胰腺肿瘤  胰岛素瘤  IRI/GS  外科学  手术

DIAGNOSIS AND TREATMENT OF INSULINOMA
Huang Luqang, Sun Weidong, Wang Weiling,et al. DIAGNOSIS AND TREATMENT OF INSULINOMA[J]. Acta Academiae Medicinae Wannan, 1997, 16(2): 129-131
Authors:Huang Luqang   Sun Weidong   Wang Weiling  et al
Abstract:This paper reports 5 misdiagnoses cases of insulinoma including 3 cases cured by operation and 1 Case with multiple tumors. The misdiagnoses include seizure, infective shock、brain tumor etc. Whipple's triad and IRI/GS>0. 3 are precises determinants in diagnosis. Serial ultrasonography and CAT-scan are significant for determining the exact location of the lesions. Surgery is satisfactory if no lesion occurs. Santosdatin, Diamox and radiotherapy have curative effects on pencreatic fistules (a comman complication of the operation).
Keywords:pancreatic neoplasms  insulinoma  IRI/GS  surgery  operative
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