CAJ | 학술논문

目的探讨术中超声在胰岛素瘤诊治中的价值.方法回顾性分析2000年1月至2007年12月郑州大学第一附属医院普通外科收治的44例胰岛素瘤患者术中超声的应用情况.其中男性19例,女性25例,年龄17～67岁,平均年龄40.5岁.病史4个月～13年,平均38个月.所有患者均接受手术治疗,术中均进行了超声检查.结果其中43例术中超声准确定位肿瘤、明确肿瘤毗邻关系;另1例为胰岛细胞增生症,肿瘤检出率100%.手术并发症发生情况:胰漏1例,胰腺炎l例,无胆漏和大出血发生.结论术中超卢是目前胰岛素瘤定位诊断的简单有效的方法,且有效提高手术成功率、降低手术并发症.
목적 탐토술중초성재이도소류진치중적개치.방법 회고성분석2000년1월지2007년12월정주대학제일부속의원보통외과수치적44례이도소류환자술중초성적응용정황.기중남성19례,녀성25례,년령17～67세,평균년령40.5세.병사4개월～13년,평균38개월.소유환자균접수수술치료,술중균진행료초성검사.결과 기중43례술중초성준학정위종류、명학종류비린관계;령1례위이도세포증생증,종류검출솔100%.수술병발증발생정황:이루1례,이선염l례,무담루화대출혈발생.결론 술중초로시목전이도소류정위진단적간단유효적방법,차유효제고수술성공솔、강저수술병발증.
Objective To analyze the value of intraoperative ultrasonography (IOUS) in the diagnosis and therapy of insaulinoma. Methods From January 2000 to December 2007, the application of intraoperative ultrasonography used in 44 cases with insulinoma who came from department of general surgery, First Affiliated Hospital of Zhengzhou University were retrospectively analyzed. There were 19 males and 25 females in the group. Every case accepted operation and examination of IOUS. Results Tumor was accurately located and its adjacent structuer was also clear by IOUS in 43 cases,the other one was islet cell hyperplasia,the detection rate of tumor was 100%. The complications: one case occurred pancreatic fistula, one occurred pancreatitis,and there was no biliary fistula and hemorrhea. Conclusions Presently, IOUS is one simple and effective method to local insulinoma, and it could improve the success rate of operation and reduce complications.