功能性胰岛细胞瘤的手术切除分析  

Analysis of surgical resection for functional islet cell tumor

作　　者：陈学中[1] 孔刚[1] 梁永全[1] 

机构地区：[1]广东省江门市中心医院外科,529070

出　　处：《岭南现代临床外科》2006年第2期84-86,共3页Lingnan Modern Clinics in Surgery

摘　　要：目的探讨如何提高功能性胰岛细胞瘤的手术切除率,减少肿瘤遗漏,增加治疗效果。方法回顾分析2003-2005年功能性胰岛细胞瘤4例的临床诊治过程。结果功能性胰岛细胞瘤4例,1例影像学检查未能明确定位者,行保守治疗;2例分别行胰头部肿瘤及胰尾肿瘤切除术,术后血糖恢复正常;1例行胰体尾加脾切除术,术后2个月复查血糖为1.53mmol/L并有低血糖临床症状。结论DSA的检查,对进一步明确细肿瘤的位置有肯定的作用;术前影像学定位检查资料的综合分析,可提高肿瘤的手术切除率。Objective To investigate how to improve the resection rate, reduce the postoperativemiss of tumor and enhance the postoperative effect for functional istet cell tumor. Methods From2003 to 2005 ,4 cases with functional cell tumors were analyzed retrospectively. Results Conservativetreatment was performed in 1 case, because of the localization of tumor was not confirmed by imagingexamination. Tumor resection in lease of pancreatic head and 1 case of pancreatic tail were performedrespectively, and blood sugar was recovered to normal range after operation. Panereatic body and tailresection plus splenectomy were performed in one case. The blood sugar content was 1.53 mmol/L 2months after operation and the patient had clinieal symptoms of hypoglycemia. Conclusion DSAexamination is an effective method for confirming the localization of tumor. According to thecomprebensive analysis of preoperative imaging examination, the resection rate of functional islet celltumor may be improved.

关 键 词：胰岛细胞瘤 诊断 手术 切除 功能性胰岛细胞瘤 

分 类 号：R735.9[医药卫生—肿瘤]