胰岛素瘤的手术治疗及远期疗效（附30例临床分析）

作者报告１９７０年至１９９６年间手术治疗的３０例胰岛素瘤的诊治体会。男性１９例，女性１１例，年龄２５～５６岁，所有肿瘤均经手术切除，病理检查证实为良性肿瘤。无手术死亡。其中２０例随访４个月至１９年，被访病例均无复发，生活正常。作者认为，手术切除肿瘤是唯一有效治疗手法，选择性腹腔动脉造影定位诊断有极大帮助，绝大多数肿瘤能在术中探及并成功切除，术中血糖监测是判断肿瘤是否完全切除的有效方法，遗漏微小肿瘤是造成手术失败的主要原因。

The surgical treatment of insulinoma and long term follow up for 30 cases

The surgical treatment of 30 cases of insolinoma from 1970 to 1996 is reported: 19 male,11 female;aged 25-56.All insulinomas were resected and proved to be benign pathelogieally,and all patients were cured.Twenty patients have been followed up from 4 months to 19 years.The symptom of hypoglycaemia disappeared.These 20 patients now live a normal life.Surgery is the most effective treatment for insulinoma. The selective celiac angiography is effective to detect and locate tumors larger than 1 cm in diameter.Careful explarotory manoeuvre can not be emphasized to strong.The normal blood glucose level during operation is the gold standard for total resection of insulinomas.It is usually difficult to detect the minute adenomas which often constiture the major cause of the failure of a surgical treatment.In our series,one patient with recurrence eventually recovered after second operation.