手术治疗的肾上腺疾病临床特征回顾分析  

A Retrospective Study on Surgical Treatment of Patients with Adrenal Disease

作　　者：易发现[1] 袁亚光[1] 魏强[2] 范天勇[2] 石明[2] 沈宏[2] 董强[2] 李响[2] 李虹[2] 

机构地区：[1]内蒙古医学院附属医院泌尿外科,内蒙古呼和浩特010051 [2]四川大学华西医院泌尿外科

出　　处：《包头医学院学报》2011年第2期53-55,共3页Journal of Baotou Medical College

摘　　要：目的:分析总结手术治疗的肾上腺疾病的临床特点。方法:查阅四川大学华西医院2000-2007年入院行肾上腺手术患者的病案,对肾上腺疾病的临床特点进行回顾分析。结果:352例患者,最大径≤3 cm的肿瘤中良性肿瘤占99.2%。嗜铬细胞瘤患者患有高血压的比例为69.6%,具有特异性症状的比例是73.9%。原醛、库欣综合征以及嗜铬细胞瘤患者相关血生化检查阳性率为97.8%、97.3%、94.4%。结论:肾上腺疾病中醛固酮腺瘤的直径最小,不典型嗜铬细胞瘤是肾上腺偶发瘤鉴别诊断的重点。Objective：To summarize the clinical features of adrenal disease.Methods： A total of 352 patients with adrenal disease received surgical treatment in west china hospital of Sichuan university from 1998 to 2004,and the data of them were analyzed retrospectively.Results： Among adrenal tumors with the maximum diameter less than or equal to 3 cm,benign tumor accounted for 97.6 %.69.6 % of the patients with phaeochromocytoma suffered from high blood pressure,and 73.9 % of patients with phaeochromocytoma had specific manifestation.For patients with primary aldosteronism,Cushing syndrome,and phaeochromocytoma,the positive rates of related blood biochemistry were 97.8 %,97.3 % and 94.4 %,respectively.Conclusion： Among adrenal tumors,the diameter of aldosterone-producing adenoma was the smallest.Phaeochromocytoma is the key point in the differential diagnosis of adrenal incidentaloma.

关 键 词：肾上腺 发病特征 高血压 嗜铬细胞瘤 

分 类 号：R736.6[医药卫生—肿瘤]