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目的探讨肾上腺髓质脂肪瘤的诊断和治疗方法。方法回顾性分析肾上腺髓质脂肪瘤23例患者的资料,对其临床特征、诊断和治疗方法以及预后进行总结。结果 23例患者术前影像学检查均明确诊断,17例开放手术,6例腹腔镜手术。23例患者均痊愈。患者术后病理检查均证实为肾上腺髓质脂肪瘤,随访时间1个月-8年,未见肿瘤复发,9例腰背酸胀患者术后症状消失,6例高血压患者术后3个月内血压恢复正常,3例头昏患者术后症状消失。结论部分肾上腺髓质脂肪瘤伴有内分泌功能,影像学检查是肾上腺髓质脂肪瘤术前诊断的主要手段,开放或腹腔镜下切除肿瘤为主要治疗方法。
Objective To investigate the diagnosis and treatment of adrenal medullary lipoma. Methods The data of 23 patients with adrenal medullary lipoma were retrospectively analyzed, and their clinical features, diagnosis and treatment methods and prognosis were summarized. Results Twenty-three patients had definite imaging diagnosis before operation, 17 patients underwent open surgery and 6 patients underwent laparoscopic surgery. All 23 patients recovered. Postoperative pathological examination confirmed adrenal medullary lipoma, follow-up time of 1 month to 8 years, no tumor recurrence, 9 cases of back pain patients with postoperative symptoms disappear, 6 cases of hypertensive patients after 3 months Blood pressure returned to normal, 3 cases of dizziness patients disappeared after surgery. Conclusion Some adrenal medullary lipoma with endocrine function, imaging examination is the main means of preoperative diagnosis of adrenal lipoma, open or laparoscopic resection of the tumor as the main treatment.