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分析24例胰岛素瘤的临床表现,认为仍应以Whipple三项标准作为诊断依据,血糖值可定在3.333mmol/L以下。B超、CT对定应诊断有一定价值,经皮肝穿刺脾静脉分段取血测定胰岛素与选择性动脉造影可提高定位的准确性。术中血糖及胰岛素监测是判断肿瘤切除是否彻底、预防多发性肿瘤遗漏的一个有效的方法。
Analysis of the clinical manifestations of 24 cases of insulinoma, that Whipple three criteria should be used as a diagnostic basis, blood glucose value can be set at 3.333mmol / L or less. B-ultrasound and CT have certain value in diagnosing the disease. Percutaneous hepatic puncture of splenic veins for blood sampling to determine insulin and selective angiography can improve the accuracy of localization. Intraoperative blood glucose and insulin monitoring is an effective method to judge whether the tumor resection is complete and prevent multiple tumors from being missed.