术中超声在胰岛素瘤诊治中的应用

目的 探讨术中超声在胰岛素瘤诊治中的价值.方法 回顾性分析2000年1月至2007年12月郑州大学第一附属医院普通外科收治的44例胰岛素瘤患者术中超声的应用情况.其中男性19例,女性25例,年龄17～67岁,平均年龄40.5岁.病史4个月～13年,平均38个月.所有患者均接受手术治疗,术中均进行了超声检查.结果 其中43例术中超声准确定位肿瘤、明确肿瘤毗邻关系;另1例为胰岛细胞增生症,肿瘤检出率100%.手术并发症发生情况:胰漏1例,胰腺炎l例,无胆漏和大出血发生.结论 术中超卢是目前胰岛素瘤定位诊断的简单有效的方法,且有效提高手术成功率、降低手术并发症.

The application of intraoperative ultrasonography in the diagnosis and therapy of insaulinoma

Objective To analyze the value of intraoperative ultrasonography (IOUS) in the diagnosis and therapy of insaulinoma. Methods From January 2000 to December 2007, the application of intraoperative ultrasonography used in 44 cases with insulinoma who came from department of general surgery, First Affiliated Hospital of Zhengzhou University were retrospectively analyzed. There were 19 males and 25 females in the group. Every case accepted operation and examination of IOUS. Results Tumor was accurately located and its adjacent structuer was also clear by IOUS in 43 cases,the other one was islet cell hyperplasia,the detection rate of tumor was 100%. The complications: one case occurred pancreatic fistula, one occurred pancreatitis,and there was no biliary fistula and hemorrhea. Conclusions Presently, IOUS is one simple and effective method to local insulinoma, and it could improve the success rate of operation and reduce complications.