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目的提高肾上腺偶发瘤的诊治水平。方法结合文献讨论30例肾上腺偶发瘤未被早期发现的原因,潜在的手术危险性,及需警惕恶性病变等临床特点。结果30例患者均经内分泌功能测定、B超、CT等检查,23例手术中15例(65%)患者行后腹腔镜肾上腺肿瘤摘除术,8例(35%)行经腹或经腰肾上腺肿瘤摘除术。结论对于肾上腺偶发瘤必须结合内分泌检查,影像学检查,以排除有无内分泌功能及是否为恶性,后腹腔镜手术为肾上腺良性疾病的首选。
Objective To improve the diagnosis and treatment of adrenal incidental tumors. Methods A total of 30 cases of adnexal incidental tumors were not discussed in the literature, the potential surgical risk, and the need to be alert to the clinical features of malignant lesions. [Results] All 30 patients were examined by endocrine function, B-ultrasonography and CT examination. Twenty-five patients (65%) underwent laparoscopic adrenalectomy and 8 (35%) underwent abdominal or adrenal gland tumors. Removal surgery. Conclusion For endemic adrenal tumors must be combined with endocrine examination, imaging examination to rule out the presence or absence of endocrine function and whether malignant, postoperative laparoscopic surgery is the first choice for benign adrenal disease.