肾上腺嗜铬细胞瘤的诊断和治疗  

Diagnosis and Management of Adrenal Gland Pheochromocytoma

作　　者：项明峰[1] 潘正跃[2] 史子敏[2] 葛根[2] 孙锡林[2] 习小庆[2] 

机构地区：[1]江西医学院,2002级研究生江西南昌330006 [2]江西医学院第二附属医院泌尿外科,江西南昌330006

出　　处：《江西医学院学报》2004年第3期82-84,共3页Acta Academiae Medicinae Jiangxi

摘　　要：目的　探讨肾上腺细胞瘤的诊治方法。方法　回顾性分析 38例肾上腺细胞瘤的临床资料。结果　 38例均得到明确诊断 ,32例经手术治疗并得到病理证实 ,其中良性 2 9例 ,恶性 3例。术后高血压等症状得到有效控制 ,恢复满意。结论　肾上腺嗜铬细胞瘤主要根据临床表现、生化定性检查及影像学定位检查明确诊断。手术切除肿瘤是惟一有效的措施。充分的术前准备和精细的手术操作及阻断瘤体血供前后的血压控制是手术顺利完成的三个重要环节。Objective To study and evaluate the diagnosis and treatment strategy of Pheochromocytoma.Methods The clinical data of 38 cases of patients with adrenal gland pheochromocytoma were reviewed retrospectively.Results all the 38 cases gained definitive diagnose.Among them 32 cases received surgical treatment and was conformed by pathologic studies with 29 of benign and 3 of malignant. Their hypertension and other symptoms were effectively controlled and the patients resumed satisfactively.Conclusion The procedures of the qualitative and locative diagnosis of adrenal gland pheochromocytoma included clinical manifestation,urinary VMA assessment and imaging investigation. Surgical management was the only means for curing the disease.The three important steps were surfficient preoperative preparation.Carefully operation and control of blood presure between interdicting blood supply of tumors.laparoscopic adrenalectomy is a therapeutic tool which has great future.

关 键 词：肾上腺嗜铬细胞瘤 诊断 治疗 

分 类 号：R737.11[医药卫生—肿瘤]