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作者以临床应用B超检查为界,对比分析了该科1976～1991年间17例胰岛素瘤病例的18次手术结果。结果:第二组的11例中,4例因未触摸到肿瘤,4例则对触摸结果有怀疑,共8例应用术中B超进行定位检查,全部找到肿瘤。肿瘤最小者直径不足0.5cm,无手术及术后死亡,术后症状均消失,出院时血糖检查结果正常。结果表明:应用术中B超检查可以精确定位胰岛素瘤,从而避免了盲目性胰部分切除,提高手术
The authors compared the B-ultrasound clinical application with 18 surgical results of 17 cases of insulinoma in the department from 1976 to 1991. Results: Of the 11 cases in the second group, 4 cases had no tumors, and 4 cases had doubts about the touch results. A total of 8 cases underwent positional examination with intraoperative B-mode ultrasound and all of them found tumors. The smallest diameter of the tumor was less than 0.5cm. No surgery or postoperative death occurred. The symptoms disappeared. The blood glucose test results were normal at the time of discharge. The results show that the use of intraoperative B-ultrasound can accurately locate insulinoma, thus avoiding blind partial resection of the pancreas and improving surgery.