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目的探讨胰岛细胞瘤的诊断和治疗方法。方法回顾性分析33例胰岛细胞瘤的临床资料。结果诊断采用CT,MRI,SAOG,术前B超,IRI/G和术中B超(IOUS),敏感性分别为64.71%,50%,42.86%,15.38%,94.74%和100%。术前确诊率54.55%,手术探查的阳性率为90.91%;治疗采用肿瘤局部摘除术24例,远段胰腺切除术9例。治愈率为90.91%,并发症发生率33.33%,病死率3.03%。结论术中触诊联合IOUS基本上可定位诊断;根据胰岛细胞瘤的大小、部位、数目采取适宜的手术方式是获得良好疗效的关键。
Objective To investigate the diagnosis and treatment of islet cell tumor. Methods The clinical data of 33 cases of islet cell tumor were retrospectively analyzed. Results The sensitivity of diagnosis was 64.71%, 50%, 42.86%, 15.38%, 94.74% and 100% respectively using CT, MRI, SAOG, preoperative ultrasound B, IRI / G and intraoperative IOUS. Preoperative diagnosis rate of 54.55%, the positive rate of surgical exploration was 90.91%; treatment with local tumor removal in 24 cases, distal pancreatectomy in 9 cases. The cure rate was 90.91%, the complication rate was 33.33% and the case fatality rate was 3.03%. Conclusions Intraoperative palpation combined with IOUS can be diagnosed basically. According to the size, location and number of islet cell tumor, it is the key to obtain good curative effect by adopting proper operation method.