胰岛素瘤27例的临床诊治分析  

The Clinical Analysis of Diagnosis and Treatment of 27 cases Pancreatic Insulinoma

作　　者：沈威[1] 李红浪[1] 王梦龙[1] 熊炳贤[1] 毛盛勋[1] 

机构地区：[1]江西医学院第二附属医院普外科,330006

出　　处：《实用癌症杂志》2005年第4期384-385,共2页The Practical Journal of Cancer

摘　　要：目的探讨胰岛素瘤的临床特点及诊断治疗方法。方法回顾性分析25年来收治27例胰岛素瘤患者的临床资料。结果27例患者临床表现均符合Whipple三联症,误诊率达到81.5%(22/27),平均病程为17个月,术前增强CT扫描诊断率为52.6%(10/19),术中超声检查诊断符合率为83.3%(15/18)。单发瘤23例(85.2%),多发瘤4例(14.8%)。27例均手术切除肿瘤。结论典型的Whipple三联症有助于胰岛素瘤的早期诊断,术中超声检查能有效定位,合理手术是治愈胰岛素瘤的关键。Objective To explore the significance in diagnosis and treatment of pancreatic insulinoma. Methods Twentyseven operated cases of pancreatic insulinoma from 1980 to 2005 were retrospectively studied. Results All the patients had typical Whipple＇s triad and 81.5 % patients were once misdiagnosed. The average time of eva;tion was 17 mohths. 10（52.6% ） cases were diagnosed by amplify CT before operative and 15（83.3% ） cases by BUS during operative. There were 23（85.2% ） cases of single insulinoma,4（14.8%） cases of multiple insulinoma. Surgery are effective therapy method. Conclusion The typical Whipple＇s triad symptoms will help to early diagnosis, the BUS during operative is the choice of localization, effective operation remains the main methods to cure insulinoma.

关 键 词：胰岛素瘤 诊断 手术 

分 类 号：R735.9[医药卫生—肿瘤]