论文部分内容阅读
作者１９６７～１９９４年共收治胰岛素瘤２０例，经病理确诊，全部为腺瘤，１９例单发，１例多发。位于胰头１０例，胰体７例，胰尾４例。肿瘤直径最大３ｃｍ，最小０．５ｃｍ。尸检确诊１例，手术治疗１９例。１例死于术后胰瘘，１８例治愈，随访１～１８年，低血糖症状均纠正，无复发病例。作者建议采用钙滴注试验替代饥饿试验诊断胰岛素瘤，并对１例误诊致死的教训和胰头深部腺瘤的手术经验进行了讨论。
The authors treated 20 cases of insulinoma from 1967 to 1994. After pathological diagnosis, all of them were adenomas. 19 cases were single and 1 case was multiple. It was located in 10 cases of pancreatic head, 7 cases of pancreatic body and 4 cases of pancreatic tail. The tumor is 3 cm in diameter and 0.5 cm in diameter. One case was diagnosed by autopsy and 19 cases were treated by surgery. One patient died of postoperative pancreatic fistula. Eighteen patients were cured. All patients were followed up for 1 to 18 years. All hypoglycemia symptoms were corrected and no recurrence was found. The authors recommend the use of calcium infusion test instead of starvation test to diagnose insulinoma, and discuss the lesson of misdiagnosis and death of pancreatic head adenoma.