肾上腺髓质脂肪瘤的诊断和治疗(附16例病例报告并文献复习)  

Diagnosis and treatment of adrenal myelolipoma(report of 16 cases and literature review)

作　　者：孙明[1] 赵文嫣[2] 潘春雨[1] 张峰[1] 吴斌[1] 

机构地区：[1]中国医科大学附属盛京医院泌尿外科,辽宁沈阳110004 [2]中国医科大学附属盛京医院普通外科,辽宁沈阳110004

出　　处：《现代肿瘤医学》2017年第5期750-752,共3页Journal of Modern Oncology

摘　　要：目的:探讨肾上腺髓质脂肪瘤的诊断和治疗方法。方法:回顾性分析2010年1月至2015年5月我科收治的16例肾上腺髓质脂肪瘤患者的临床特点、影像学表现、手术方式以及预后情况,并复习相关文献。结果:16例肾上腺髓质脂肪瘤患者男5例,女11例,平均年龄46.2岁(29~70岁)。病变位于右侧14例,左侧2例。术前无症状者9例,单纯性后腰背部疼痛5例,腰痛伴周身浮肿1例,高血压、心悸心慌、头晕等1例。16例患者均经超声或CT检查确诊,行开放或腹腔镜肾上腺及肿瘤切除术。手术均顺利,术后均有病理证实为髓质脂肪瘤。出院后随访3~36个月,原有症状消失,肿瘤无复发。结论:肾上腺髓质脂肪瘤可依靠影像学检查诊断,治疗手段以手术切除为主,安全有效,手术方式以腹腔镜为首选。Objective： To analyze the diagnosis and treatment of adrenal myelolipoma（ AML）. Methods： To review historical document,a retrospective analysis was going on 16 cases of the adrenal myelolipoma（ AML） from 2010 to 2015 about clinical features,imaging characteristics,approach surgery and prognosis. Results： Mean patients age was 46. 2 years（ range 29 to 70）,5 men and 11 women. 14 of the cases were on the right adrenal gland and only 2 cases were on the left. 9 cases had no symptoms,5 cases complained about simple backache,1 case suffered from lower back pain and edema,1 case mainly suffered from hypertension,palpitation and dizziness. 16 cases were all taken ultrasound or CT scan for diagnosis and undertaken open or laparoscopic surgery for adrenal gland and the tumor incision. During 3 to 36 months follow-up,the primary symptoms disappeared,no tumor relapse. Conclusion： The diagnosis of AML is depended on the image logical method and the treatment mainly is the surgery. Meanwhile,the operation could avoid symptoms of recurrent,improve the quality of life. The laparoscopic surgery is the first choice if there is no contraindications.

关 键 词：肾上腺 肿瘤 腹腔镜 手术 

分 类 号：R730.262[医药卫生—肿瘤]