腹膜后异位嗜铬细胞瘤的诊断和治疗  

Diagnosis and Treatment of Retroperitoneal Ectopic Pheochromocytomas

作　　者：孟令勤[1] 刘源[1] 王勇[1] 杨福全[1] 刘金钢[1] 

机构地区：[1]中国医科大学附属盛京医院普外科,辽宁沈阳110004

出　　处：《中国血液流变学杂志》2011年第4期664-666,671,共4页Chinese Journal of Hemorheology

摘　　要：目的探讨腹膜后异位嗜铬细胞瘤的诊断和治疗。方法回顾分析2005年1,9-2010年12月收治的经手术病理证实的腹膜后异位嗜铬细胞瘤13例患者的临床资料。结果有典型临床表现者4例，术前13例均行CT检查，7例行24h尿香草扁桃酸及血儿茶酚胺检测，术前确诊者4例。均手术切除，术中血压波动者10例。5例高血压者，术后血压恢复正常4例，口服降压药控制良好1例。结论腹膜后异位嗜铬细胞瘤是一种临床上很容易被忽视的疾病，易产生不良后果。加强对该病的认识、注意围手术期及术中处理是诊断和治疗的关键。Objective To investigate the clinical manifestation, diagnosis and treatment of rctroperitoneal ectopic pheochromocytomas.Methods Data of 13 cases with retroperitoneal ectopic pheochromocytomas from 2005 to 2010 was retrospectively analysed.Results 4 cases have the typical clinical manifestation of pheochromocytomas.CT scan was performed in all cases,24 hour urinary VMA and serum catecholamine were examined in 7 cases,4 cases were diagnosed before operation, all cases undergone operation.The blood pressure of 10 cases fluctuated between operation,and the hypertension of 4 cases were cured after surgical treatment while 1 case received drug therapy and blood pressure was controlled effectively.Conclusion Retroperitoneal ectopic pheochromocytomas is usually be disregarded.Recognization and peroperative period treatment are very important in diagnosis and therapy.

关 键 词：异位嗜铬细胞瘤 原发性腹膜后肿瘤 诊断 治疗 

分 类 号：R73[医药卫生—肿瘤]