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我院自1962年2月至1987年5月经手术及病理检查证实为胰岛素瘤共40例,全部病例都一次手术找到病变,除1例恶性肿瘤切除后因复发再次手术外,术后均未作再次手术。今对手术成功的有关问题作一探讨。临床资料本组男21例,女19例。年龄21～60岁,平均年龄40岁。34例为胰岛素瘤,2例恶性胰岛素瘤,4例胰岛增生。低血糖症状发作时有39例血糖低于2.8mmol/L(50mg%)。40例有病变42处,即多发肿瘤2例。病变位于胰头及钩突处14例次(33.33%),体部10例次(23.80%),体尾部18例次(42.85%)。31例次肿瘤直径为1～2cm。40例施行手术42次,手术方
A total of 40 cases of insulinoma were confirmed by surgery and pathology in our hospital from February 1962 to May 1987. All cases were found to have lesions by one operation. Except for one case of malignant tumor recurrence after reoperation, no postoperative operation was performed. Reoperation. This is a discussion of the issues related to the success of surgery. The clinical data of this group were 21 males and 19 females. Age 21 to 60 years, mean age 40 years. 34 cases were insulinomas, 2 cases of malignant insulinomas, and 4 cases of islet hyperplasia. At the onset of hypoglycemia, 39 patients had blood glucose below 2.8 mmol/L (50 mg%). Forty patients had 42 lesions, that is, multiple tumors in 2 cases. The lesions were located in the pancreatic head and uncinate process in 14 cases (33.33%), 10 cases in the body (23.80%), and 18 cases in the body tail (42.85%). 31 cases of tumor diameter of 1 ~ 2cm. 40 cases undergoing surgery 42 times