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目的 评价胰岛素瘤术中血糖监测的意义。方法 本院自 196 2年至 2 0 0 0年 4月手术治疗胰岛素瘤 5 0例 ,45例行术中血糖监测 ,以肿瘤切除后血糖升高 2 86mmol/L作为肿瘤完全切除的指标。结果 本组肿瘤切除后 30min内血糖升高 2 86mmol/L者 33例 ,占 73 3% (33/ 45 ) ;6 0min内血糖升高者 38例 ,占 84 4% (38/ 45 )。肿瘤完全切除的 43例中 41例用该方法能提供帮助。假阳性2例 ,无假阴性结果。结论 术中血糖监测对判断肿瘤是否完全切除有实用意义。
Objective To evaluate the significance of blood glucose monitoring during insulinoma surgery. Methods In our hospital from the year of 196 to April 2000, 50 cases of insulinoma were treated surgically. Intraoperative blood glucose monitoring was performed in 45 cases. The blood glucose elevation after tumor resection was 286 mmol/L as an indicator of complete tumor resection. Results In the 30 minutes after the tumor resection, 33 cases of blood glucose increased by 2 86mmol/L, accounted for 73 3% (33/45); 38 cases increased blood glucose within 60 minutes, accounting for 84% (38/45). Of the 43 cases with complete resection of the tumor, 41 were able to provide help with this method. There were 2 false positives and no false negative results. Conclusion Intraoperative blood glucose monitoring has practical significance in judging whether a tumor has been completely resected.