肾上腺节细胞神经瘤的诊断与治疗:附7例报告  

The diagnosis and treatment of adrenal ganglioneuroma (report of 7 cases)

作　　者：赵划晟 吴水清[1] 徐冉[1] 陈放知[1] 万奇 赵晓昆[1] 张选志[1] 

机构地区：[1]中南大学湘雅二医院泌尿外科,长沙410011 [2]长沙市第一人民医院神经医学中心,湖南410005

出　　处：《中华腔镜泌尿外科杂志（电子版）》2015年第3期18-21,共4页Chinese Journal of Endourology(Electronic Edition)

摘　　要：目的 探讨肾上腺节细胞神经瘤的诊断与治疗。方法 总结中南大学湘雅二医院2007年1月到2013年12月期间7例肾上腺节细胞神经瘤患者的诊治经验,并复习相关文献。7例患者均行超声、CT、内分泌相关检查,3例行腹腔镜手术,3例行开腹手术,1例行腹腔镜中转开腹手术。结果7例术后病检均为肾上腺节细胞神经瘤,3例有临床症状的患者,术后恢复正常。随访12～38月,7例患者均无复发或转移。结论 肾上腺节细胞神经瘤通常无特异性临床表现,实验检查及影像学检查只能辅助诊断,最终的确诊依靠病理检查。本病的治疗主要是手术切除,预后大多良好。Objective To explore the diagnosis and treatment of adrenal ganglioneuroma. During January 2007 to October 2013 in Xiangya Hospital of Central South University, a total of 7 patients underwent surgical treatment and were diagnosed with adrenal ganglioneuroma, data about clinical manifestation, laboratory results, radiography examination, operation-related parameters, follow-up and prognosis were retrospectively collected and analyzed. Results Among seven patients, only 3 had specific symptoms. All of them underwent endoscine examination, ultrasound and computerized tomography, and they were pathplogically diagnosed as adrenal ganglioneuroma. All seven patients underwent surgical treatment successfully, incluing 3 laparoscopic surgeries, 3 with open surgeries and one received laparoscopy first and then converted to open surgery. No recurrence or metastasis was noted during follow-up of 12 to 38 months. Comclusion Adrenal ganglioneuroma had no specific clinical manifestation. The laboratory and radiography examination may promote the diagnosis, while the diagnosis depends on pathological examination. Surgery via laparoscopic or open approach is the main treatment option with favorable prognosis.

关 键 词：节细胞神经瘤 肾上腺 诊断 治疗 

分 类 号：R736.6[医药卫生—肿瘤]