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find Keyword "胰岛素瘤" 8 results
  • DIAGNOSIS AND TREATMENT OF INSULINOMA (ANALYSIS OF 25 CASES)

    Diagnosis and surgical procedures were studied in this paper. Twentyfive cases of insulinoma were treated surgically from 1970 to 1997, in which 10 patients had Whipple′s triad so that the early diagnosis could be made. The sites of tumours were found in 10 out of 12 undergoing. Selective celiac angiongraphy with the accuracy rate of 83%, but B-ultrasonography and CT gave only 10% (4 out of 25) and 40%(8 out of 20) respectively. In this series, 5 cases underwent bodytail pancreatectomy and 20 cases enucleation of insulinoma. Blood glucose levels were tested during operation in 15 cases, and they all reached the normal level one hour after the tumours were completely removed. The authors consider that Whipple′s triad is the main basis in diagnosis of insulinoma. The selective celiac angiongraphy play an important role in detecting and locating the tumour. If diagnosis is made, surgical operation should be taken. The blood glucose monitoring during operation is the hallmark for complete resection of insulinomas.

    Release date:2016-08-29 09:20 Export PDF Favorites Scan
  • Diagnosis and Treatment of Pancreatic Endocrine Tumors

    Release date:2016-09-08 10:36 Export PDF Favorites Scan
  • Diagnosis and Treatment of Common Pancreatic Neuroendocrine Tumors

    Release date:2016-09-08 10:36 Export PDF Favorites Scan
  • Insulinoma: Imaging Features and Correlation with Pathological Findings (Analysis of 8 Cases)

    ObjectiveTo investigate the imaging features of insulinoma on multi-slice spiral CT (MSCT) and magnetic resonance imaging (MRI) with correlation of pathology. MethodsAll images of 8 patients confirmed by surgery and pathology were retrospectively analyzed with correlation of pathology. MSCT scans were performed in 4 patients and MR scans in 6 patients, among which 2 patients accepted both MSCT and MRI examinations. ResultsInsulinoma in all patients manifested as solitary lesions with diameters of 0.5-3.5 cm. Four lesions demonstrated isodensity or hypodensity on plain MSCT, with significant enhancement on arterial phase, and relative isodensity or slight hyperdensity on portal phase and delay phase. On plain MRI, lesions demonstrated hyperintensity on T1WI, slight hyperintensity or hyperintensity on T2WI. The enhanced patterns of insulinoma were similar to the findings on MSCT. ConclusionsThe imaging characteristics of insulinoma reflect the pathological features. MSCT and MRI are effective in the diagnosis of inslinoma, and MRI can show more diagnostic information.

    Release date:2016-09-08 04:25 Export PDF Favorites Scan
  • Location Diagnosis and Treatment of Insulinoma (Report of 38 Cases)

    目的 正确评价胰岛素瘤的各种定位诊断方法和各种手术治疗方法。 方法 回顾性分析吉林大学第一医院普外科与吉林省肿瘤医院普外科1985年6月至2005年6月期间诊治的38例胰岛素瘤的临床资料,系统评价术前超声、术中超声、术前CT及术前增强CT定位诊断方法。结果 术前超声、术前CT、术前增强CT及术中超声检查其确诊率分别为47.4%、51.5%、85.7%及100%。行肿瘤局部摘除术21例,单纯远端胰腺切除术14例,远端胰腺切除术联合脾摘除3例。结论 胰岛素瘤的术前定位诊断较困难,术前超声与术前CT在术前定位诊断方面差异无统计学意义,术前增强CT能够明显提高胰岛素瘤的术前诊断率,术中超声是胰岛素瘤最有效的定位诊断方法。行肿瘤摘除术是治疗良性胰岛素瘤的最佳方式,能够降低术后并发症发生率。多发性胰岛素瘤或恶性胰岛素瘤应行胰腺次全切除术以避免复发,必要时可联合脾脏摘除。

    Release date:2016-09-08 11:49 Export PDF Favorites Scan
  • THE DIAGNOSIS AND TREATMENT OF INSULINOMA (REPORT OF 15 CASES)

    Objective To discuss the diagnosis and treatment of insulinoma, clinical characteristics and summarize our experiences. Methods The clinical, operative and pathologic findings from 15 cases of insulinoma of in our hospital from 1989 to 1998 were retrospectively studied. Results All 15 patients recieved surgical treatment. Fourteen patients were cured and the 15th patient died from hepatic failure six months later. Conclusion Insulinoma should be diagnosed and treated as early as possible. It can be cured by resection of the tumor.

    Release date:2016-09-08 02:01 Export PDF Favorites Scan
  • 恶性胰岛素瘤患者护理一例

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  • 功能性胰岛素瘤患者术后观察与护理

    目的探讨功能性胰岛素瘤患者术后的观察要点及护理措施。 方法回顾性2010年1月-2012年12月行手术治疗的54例功能性胰岛素瘤患者的病历资料,并就围手术期数据进行分析。 结果54例患者手术均获得成功。15例患者出现术后并发症,其中10例发生反跳性高血糖;2例胰瘘;3例出血;无术后胰腺炎发生。所有患者经积极有效的治疗和护理后均痊愈出院。 结论严密的术后观察与有效的护理措施能够促进功能性胰岛素瘤患者术后恢复。

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