论文部分内容阅读
胰腺β细胞瘤分泌胰岛素而引起病人低血糖症发作,外科切除胰岛素瘤是能永久治愈的。良性的胰岛素瘤10％是多个的、2╱3位于胰头部和体部,1/3在尾部,也可以发生在胰腺以外,常见在十二指肠壁或其附近。术前胰腺血管造影,对了解肿瘤的数量和位置的情况是有益的,约10％的病人虽有胰岛机能亢进症状,但手术时不能发现胰岛素瘤。近来,经皮肤穿刺肝门静脉造影(PTP)和采血标本对内泌素的分析,研究胰腺疾病,认为是有用的途径。用这种方法对隐匿的胰岛素瘤定位,这篇是第一个报告。
Pancreatic β-cell tumors secrete insulin and cause the onset of hypoglycemia. Surgical removal of insulinoma can be permanently cured. Benign insulinomas are multiple in 10%, 2 in 3 in the head and body of the pancreas, and 1/3 in the tail. They can also occur outside the pancreas and are commonly found on or near the wall of the duodenum. Preoperative pancreatic angiography is useful for understanding the number and location of tumors. About 10% of patients have symptoms of invasive insulinosis, but they cannot find insulinoma during surgery. Recently, analysis of endocrine by transcutaneous portography (PTP) and blood sampling to study pancreatic diseases is considered to be a useful approach. This method is the first report to locate occult insulinomas.