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中国首都医院自1955～1984年30年内积累了100例胰岛素瘤外科治疗的临床经验,在建立胰岛素RIA测定的基础上,对胰岛素瘤的外科治疗等方面进行了研究和改进。首先采用文献上胰岛素/血糖(IRI/G)的诊断方法,明确了诊断及手术指征,并提出了门脾静脉IRI测定在诊断和鉴别诊断上的特异性。在术前肿瘤定位研究上,经采用选择性动脉造影检查33例明确定位诊断(占75.8％),接近文献报道的先进水
In the 30 years from 1955 to 1984, China’s Capital Hospital has accumulated clinical experience in the surgical treatment of 100 cases of insulinomas. Based on the establishment of insulin RIA assays, the surgical treatment of insulinomas has been studied and improved. Firstly, the diagnosis methods and surgical indications were clarified using the literature on insulin/glucose (IRI/G) diagnostic methods, and the specificity of the IRI assay for portal vein spleen was diagnosed and differentially diagnosed. In the study of preoperative tumor location, 33 patients were diagnosed by selective angiography (75.8%), which is close to the advanced water reported in the literature.