肾上腺髓质增生症的诊治(附7例报告)  

Diagnosis and treatment of adrenal medullary hyperplasia(report of 7 cases)

作　　者：杨璐[1] 范天勇[1] 鲜鹏[1] 崔晓波[1] 魏强[1] 李虹[1] 

机构地区：[1]四川大学华西医院泌尿外科,四川成都610041

出　　处：《现代泌尿外科杂志》2010年第2期114-116,共3页Journal of Modern Urology

摘　　要：目的探讨肾上腺髓质增生(AMH)的临床特点,提高肾上腺髓质增生症的诊断和治疗水平。方法回顾1999年1月～2008年12月收治的7例AMH患者临床资料及术后随访情况并结合文献进行分析。结果4例术前诊断疑为AMH,3例倾向为嗜铬细胞瘤。6例行单侧肾上腺切除术,4例痊愈,2例病情改善;1例先行增生显著侧肾上腺全切除,观察1月后再行对侧2/3切除,术后痊愈。结论AMH确诊依靠术中探查及术后病理,应特别注意和嗜铬细胞瘤的鉴别诊断。主要治疗方法是手术。Objective To summarfze and analyze the clinical characteristics of adrenal medullary hyperplasia（AMH） to improve its diagnosis and treatment. Methods From Jan. 1999 to Dec. 2008, 7 cases of adrenal medullary hyperplasia were treated and followed up. The diagnosis, treatment and follow-up results combined with pertinent literatures were studied. Results 3 cases were diasnosed as AMH and 4 cases as pheochromocytoma preoperatively. 6 patients underwent unilateral adrenalectomy, with 4 cured and 2 improved . 1 case received complete adrenalectomy of the prominent side first and then 2/ 3 partial adrenalectomy of the contralateral side, with satisfactory outcome. Conclusion AMH should be differentiated from pheochromocytoma cautiously. Definite diagnosis depends on surgical exploration and pathological examination. Surgical removal is the best choice of the treatment.

关 键 词：肾上腺髓质增生 诊断 治疗 

分 类 号：R699.3[医药卫生—泌尿科学]