頁籤選單縮合
題 名 | Spontaneous Hyperinsulinism-Diagnosis and Localization in 13 cases=自發性高胰島素症﹣﹣十三例診斷與定位 |
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作 者 | 賴錫裕; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 21:3 1988.05[民77.05] |
頁 次 | 頁265-272 |
分類號 | 415.668 |
關鍵詞 | 自發性高胰島素症; |
語 文 | 英文(English) |
中文摘要 | 從民國53年至75年,22年間,在台北榮民總醫院有13位病例因自發性高胰島素症接受診斷與治療。他們都有Whipple氏三要點的臨床表現,鈣灌注試驗提供較安全而迅速的誘發效果,選擇性血管攝影加上減影技術能達到80%正確率的術前定位。所有病人都是單一直性病灶除了二位以外;其中一位是胰島細胞增生而另一位是兩個良性瘤。手術中應例行探查鈎狀突,尤其是術前定位失敗時。所有病人在成功切除病灶後追踪1至22年均無再發症狀的現象。 |
英文摘要 | During the 22 years from 1964 to 1986, a total of 13 patients with spontaneous hyperinsulinism were studied and treated in this hospital. Whipple's triad presented in all of the cases. Calcium infusion test provided a better altemative for provocation than the conventional tolbutamide test. Selective angiography with subtraction film is routinely used for preoperative localization in later cases, and proved to have a high accuracy rate (80%). All patients except two had a solitary benign lesion; one had presumptive islet-cell hyperplasia; the other had double benign tumors. The uncinate process is a location where routine exploration should not be neglected, especially when other localization tools are not rewarding. All the patients remained symptomless in a 1 to 22-year follow-up period after successful resections. |
本系統中英文摘要資訊取自各篇刊載內容。