肾上腺偶发瘤的诊治(附30例报告)  

Adrenal incidentalomas (report of 30 cases)

作　　者：陈静 陆曙炎 周忠兴 吴小鹏 

机构地区：[1]常州二院泌尿外科,江苏常州213003

出　　处：《临床和实验医学杂志》2006年第12期1902-1902,1905,共2页Journal of Clinical and Experimental Medicine

摘　　要：目的提高肾上腺偶发瘤的诊治水平。方法结合文献讨论30例肾上腺偶发瘤未被早期发现的原因,潜在的手术危险性,及需警惕恶性病变等临床特点。结果30例患者均经内分泌功能测定、B超、CT等检查,23例手术中15例(65%)患者行后腹腔镜肾上腺肿瘤摘除术,8例(35%)行经腹或经腰肾上腺肿瘤摘除术。结论对于肾上腺偶发瘤必须结合内分泌检查,影像学检查,以排除有无内分泌功能及是否为恶性,后腹腔镜手术为肾上腺良性疾病的首选。Objective To evaluate the prognosis and treatment of the adrenal incidentalomas. Methods The clinical features of 30 cases of adrenal incidentalomas were presented. The reason why its diagnosis is difficult in earlier stages, potential surgical risk and malignant change were discussed. Results Hormonal screening, B - ultrasonography and radiological evaluation were performed in all cases. Retroperitoneal laparoscopic surgery was performed in 15 cases, open surgery was performed in 8 cases. Conclusion Most adrenal incidentalomas are benign and non - hypersecretory, but malignancy or endocrine hyperfunctioning should be ruled out. Retroperitoneal laparoscopic surgery is the treatment of choice for benign adrenal diseases.

关 键 词：肾上腺 偶发瘤 后腹腔镜手术 

分 类 号：R736.6[医药卫生—肿瘤]