保留肾上腺手术对高血压相关肾上腺腺瘤的作用  

The role of adrenal-sparing surgery in the treatment of adrenal tumors associated with hypertension

作　　者：陈友根[1] 袁传威 于江[1] 张沂南[1] 金讯波[1] 夏庆华[1] 

机构地区：[1]山东大学附属省立医院泌尿微创中心,山东济南250021

出　　处：《现代泌尿外科杂志》2015年第3期193-196,共4页Journal of Modern Urology

摘　　要：保留肾上腺手术在世界范围内应用日趋广泛。当用于高血压相关的病变如醛固酮腺瘤时其复发率低,和肾上腺全切相比,目前报道两者围手术期并发症和疗效相仿,而长期随访表明多数保留肾上腺者可免于激素依赖。在有经验的治疗中心,保留肾上腺手术是治疗嗜铬细胞瘤的一种非常成功的方法。以上结论强烈支持保留肾上腺手术是治疗高血压相关肾上腺小腺瘤的好方法。然而,将其常规用于对侧肾上腺正常患者尚存争议。根据肾上腺肿瘤的不同内分泌特性,我们将分别探讨保留肾上腺手术的应用价值。Adrenal-sparing surgery is gaining more popularity worldwide. When partial adrenalectomy is performed to treat small adrenal lesions associated with hypertension, such as aldosterone producing adenoma, the recurrence rate is low. Periop- erative complications and clinical outcomes of partial adrenalectomy are reported to be similar to those of radical adrenalecto- my; however, long-term follow-ups have found that patients receiving adrenal-sparing surgery can remain steroid independent. It＇s also verified that adrenal-sparing surgery is a highly successful treatment option for phaeochromocytomas. To conclude, partial adrenalectomy is a good choice for small adrenal masses associated with hypertension, but it remains controversial in the routine care of patients with a normal contralateral gland.

关 键 词：保留肾上腺手术 醛固酮腺瘤 皮质醇增高症 嗜铬细胞瘤 

分 类 号：R699.3[医药卫生—泌尿科学]