嗜铬细胞瘤的外科治疗  

Surgical Treatment of Pheochromocytoma

作　　者：谭朝晖[1] 云志中[1] 李三祥[1] 

机构地区：[1]内蒙古自治区医院泌尿外科,内蒙古呼和浩特010017

出　　处：《内蒙古医学杂志》2007年第3期305-307,共3页Inner Mongolia Medical Journal

摘　　要：目的:探讨嗜铬细胞瘤的外科治疗方法及临床效果。方法:通过外科手术的方法治疗52例嗜铬细胞瘤患者,观察其疗效。结果:术后7例(13.5%)患者发生低血压。病理提示良性嗜铬细胞瘤50例(96.2%),恶性嗜铬细胞瘤2例(3.8%)。出院时血压恢复正常42例(80.8%)。2例恶性嗜铬细胞瘤患者中,5年内均死于肿瘤转移。良性嗜铬细胞瘤者复发3例(5.8%),均复发于肾上腺区。结论:嗜铬细胞瘤的手术效果好,但手术风险大;良好的术前准备、术中及术后的监护可以降低手术死亡率。Objective： To evaluate the clinical results of different treatment for pheochromocytoma. Methotis：The clinical data of 52 patients with pheochromocytoma were reviewed and analyzed. Results： All 52 cases underwent tumor excision, after operation 7 cases had low blood pressure. Pathological examination showed that 50 cases were of benign pheochromocytoma and 2 cases of malignant. To maintain normal blood pressure. In the 50 cases of benign pheochromocytoma, 3 experienced relapse and allin adrenal gland district, 2 cases of malignancy died of metastasis within 5 years. Conclusions： Surgical excision of pheochromocytoma has a good outcome, but has a relative high risk, and correct preoperative diagnosis and proper perioperative management can reduce the motality.

关 键 词：嗜铬细胞瘤 外科 肿瘤 

分 类 号：R736.6[医药卫生—肿瘤]