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本文结合111例皮质醇增多症的临床分析,根据其不同病理类型,对治疗方案的选择进行了讨论。增生型无明确垂体瘸者主张肾上腺次全切除加垂体放疗;有明显垂体瘤者,不论有无压迫症状均主张先行垂体手术,3～6月后皮质醇增多症症状未缓解者,再行肾上腺次全切除术。肾上腺腺瘤手术疗效满意。腺癌应手术根治,晚期不能手术者可用二氯苯二氯乙烷治疗。异位ACTH综合征根治原发病灶后皮质醇增多症可期缓解。
This article combined 111 clinical cases of cortisol hyperplasia, according to their different pathological types, discussed the choice of treatment options. Proliferative type without clear pituitary who advocate adrenal subtotal resection plus pituitary radiotherapy; pituitary tumor with or without oppression are the first to claim pituitary surgery, 3 to 6 months after the symptoms of cortisol increase is not relieved, and then adrenal Subtotal resection. Adrenal adenomas have satisfactory results. Adenocarcinoma should be treated with surgery. Patients who cannot undergo surgery in the late stage can be treated with dichlorobenzene dichloroethane. Ectopic ACTH syndrome after radical resection of corticosteroids can be alleviated.