摘要
胰岛素瘤是最常见的功能性胰腺神经内分泌肿瘤，极易被误诊误治。近年来，随着诊治体系的建立与不断完善，胰岛素瘤的误诊率明显下降，但由于不同医疗机构的诊治水平参差不齐，其诊断与治疗仍存在误区。本文结合北京协和医院的诊治经验，从定性诊断和定位诊断、手术治疗和非手术综合治疗及围手术期管理等方面总结胰岛素瘤的诊治进展，借助多学科团队的快速发展，不断突破诊治困惑和瓶颈，从而进一步提高我国胰岛素瘤的规范化诊治水平。
The insulinoma, which is the most common pancreatic neuroendocrine tumor, can be misdiagnosed and mistreated easily. Recently, the misdiagnosis rate has decreased significantly owing to the establishment of diagnosis and treatment system. However, the misconception about its diagnosis and treatment still exists because the diagnosis and treatment level varies greatly among different centers. This article aims to summarize the experience in the diagnosis and treatment of insulinoma in Peking Union Medical College Hospital, and introduce the qualitative and localization diagnosis, surgical and interventional treatment and perioperative management about insulinoma, so as to standardize the diagnosis and treatment procedure in China.
作者
张太平
邱江东
冯梦宇
赵玉沛
Zhang Taiping;Qiu Jiangdong;Feng Mengyu;Zhao Yupei(Department of General Surgery,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Peking Union Medical College,Beijing 100730,China)
出处
《中华外科杂志》
CAS
CSCD
北大核心
2018年第11期801-804,共4页
Chinese Journal of Surgery
关键词
胰岛素瘤
外科手术
定性诊断
定位诊断
围手术期管理
Insulinoma
Surgical procedures
operative
Qualitative diagnosis
Localization diagnosis
Perioperative management
