国际外科学杂志
國際外科學雜誌
국제외과학잡지
INTERNATIONAL JOURNAL OF SURGERY
2015年
3期
174-176
,共3页
胰岛素瘤%早期诊断%外科手术
胰島素瘤%早期診斷%外科手術
이도소류%조기진단%외과수술
Insulinoma%Early diagnosis%Surgical procedures,operative
目的 探讨胰岛素瘤的外科诊断和治疗.方法 回顾性分析郑州大学第一附属医院普外科2008年6月-2014年10月收治的45例胰岛素瘤患者的临床资料.结果 45例胰岛素瘤患者包括功能性胰岛素瘤41例(91.11％)和无功能性胰岛素瘤4例(8.89％).应用选择性动脉造影、术前超声、术中超声、CT进行定位诊断.45例胰岛素瘤中,其中18例行腹腔镜下单纯肿瘤切除术,6例在腹腔镜下行脾脏切除术并胰尾部切除术;21例开腹,其中8例行胰十二指肠切除术,12例肿瘤位于胰颈部,行胰腺颈部局部切除术并胰尾部-空肠Roux-en-Y吻合术,1例开腹探查未发现占位.结论 胰岛素瘤早期诊断是关键,手术是目前最理想的治疗方法,腹腔镜手术在这一领域具有卓越优势.
目的 探討胰島素瘤的外科診斷和治療.方法 迴顧性分析鄭州大學第一附屬醫院普外科2008年6月-2014年10月收治的45例胰島素瘤患者的臨床資料.結果 45例胰島素瘤患者包括功能性胰島素瘤41例(91.11％)和無功能性胰島素瘤4例(8.89％).應用選擇性動脈造影、術前超聲、術中超聲、CT進行定位診斷.45例胰島素瘤中,其中18例行腹腔鏡下單純腫瘤切除術,6例在腹腔鏡下行脾髒切除術併胰尾部切除術;21例開腹,其中8例行胰十二指腸切除術,12例腫瘤位于胰頸部,行胰腺頸部跼部切除術併胰尾部-空腸Roux-en-Y吻閤術,1例開腹探查未髮現佔位.結論 胰島素瘤早期診斷是關鍵,手術是目前最理想的治療方法,腹腔鏡手術在這一領域具有卓越優勢.
목적 탐토이도소류적외과진단화치료.방법 회고성분석정주대학제일부속의원보외과2008년6월-2014년10월수치적45례이도소류환자적림상자료.결과 45례이도소류환자포괄공능성이도소류41례(91.11％)화무공능성이도소류4례(8.89％).응용선택성동맥조영、술전초성、술중초성、CT진행정위진단.45례이도소류중,기중18례행복강경하단순종류절제술,6례재복강경하행비장절제술병이미부절제술;21례개복,기중8례행이십이지장절제술,12례종류위우이경부,행이선경부국부절제술병이미부-공장Roux-en-Y문합술,1례개복탐사미발현점위.결론 이도소류조기진단시관건,수술시목전최이상적치료방법,복강경수술재저일영역구유탁월우세.
Objective Discussion of diagnosing insulinoma.Methods Retrospective analysis based on 45 cases of insulinoma patients that are collected by General Surgery Department in the First Affiliated Hospital of Zhengzhou University from June 2008 to October 2014.Results Forty-five cases of patients with insulinoma including 41 cases (91.11％) of functional insulinoma and 4 cases (8.89％) of non-functional insulinoma.Apply selective arteriography,preoperative ultrasound,intraoperative ultrasound and CT to diagnosis.Forty-five cases of patients with insulinoma,in which 18 cases with laparoscopic simple tumor resection,6 cases with laparoscopic splenectomy and tail of the pancreas resection;45 cases of insulinoma with laprotomy,in which 8 cases with pancreaticoduodenectomy,12 cases which the tumors were located in the neck,neck-line of the pancreas with local excision of the pancreas and pancreatic tail-jejunal Roux-en-Y anastomosis,one cases of laparotomy found no placeholder.Conclusions Surgery removal is currently the most successful way to eliminate insulinoma.And localization diagnosis can determine the outcome of the surgery.Co-operation of surgery removal and localization diagnosis can be the optimal approach to diagnose certain insulinoma.
