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目的 提高肾上腺嗜铬细胞瘤的诊断与治疗水平。方法 对 2 4例肾上腺嗜铬细胞瘤患者的临床资料进行回顾性分析。结果 临床表现为高血压 2 3例 (96 % ) ,尿VMA检查 2 4例 ,阳性 2 1例 (88% ) ,B超、CT及MRI诊断阳性率分别为 85 % ,96 %及 10 0 %。全部病例经手术切除肿瘤并经病理证实 ,良性 2 3例 (96 % ) ,恶性 1例 (4% ) ,术中无死亡病例。结论 肾上腺嗜铬细胞瘤的诊断主要根据临床表现、内分泌学及影像学检查 ,术前充分准备 ,术中严密监测是治疗成功的关键。
Objective To improve the diagnosis and treatment of adrenal pheochromocytoma. Methods The clinical data of 24 patients with adrenal pheochromocytoma were analyzed retrospectively. Results The clinical manifestations were 23 cases (96%) of hypertension, 24 cases of urine VMA examination (21 cases, 88%), and the diagnostic rates of B ultrasound, CT and MRI were 85%, 96% and 100% . All the cases were surgically removed and confirmed by pathology. There were 23 cases (96%) of benign cases and 1 case (4%) of malignant cases without any death during operation. Conclusion The diagnosis of adrenal pheochromocytoma mainly based on clinical manifestations, endocrinology and imaging studies, adequate preparation before surgery, intraoperative monitoring is the key to the success of treatment.