Lalau J D, Verhaeghe P, Moullart V, Maurel G, Remond A, Joly J P, Arlot S, Quichaud J
Ann Endocrinol (Paris). 1985;46(6):383-7.
In patients with proven hyperinsulinism, localization of the underlying insulinoma may be difficult. The localization diagnosis may be performed preoperatively using different procedures, such as ultrasonography, computed tomography, selective arteriography of the pancreatic vessels and percutaneous transhepatic blood sampling in the portal venous system. At operation, insulinomas may be detected by inspection and bidigital palpation, pancreatico-sonography and rapid determination of insulin concentration after sampling of blood in pancreatic veins. By discussing the advantages and disadvantages of each localization procedure, the authors propose a strategy fort the detection of pancreatic insulinomas.
在已证实患有高胰岛素血症的患者中，确定潜在胰岛素瘤的位置可能很困难。术前可采用不同的方法进行定位诊断，如超声检查、计算机断层扫描、胰腺血管选择性动脉造影以及门静脉系统经皮经肝采血。手术时，可通过视诊和双手触诊、胰腺超声检查以及胰腺静脉采血后快速测定胰腺静脉血胰岛素浓度来检测胰岛素瘤。通过讨论每种定位方法的优缺点，作者提出了一种检测胰腺胰岛素瘤的策略。
