具有内分泌活性的肾上腺肿瘤,位于皮质的有引起柯兴氏综合征、肾上腺性器综合征、原发性醛固酮增多症的肿瘤;位于髓质的有嗜铬细胞瘤。这类疾病由于分泌的激素可引起很突出的临床表现,诊断不很困难,故本文不再赘述。本文拟就肾上腺肿瘤的定位诊断;类固醇激素测定对柯兴氏综合征病型鉴别的意义;治疗方法的选择;术前、术中和术后处理;肾上腺手术途径的选择和手术预后等六个问题综述如 Endocrine tumors with endocrine activity, located in the cortex of the tumor causing Cushing’s syndrome, adrenal organ syndrome, primary aldosteronism; pheochromocytoma in the medulla. Because of the prominent clinical manifestations of this type of disease caused by secreted hormones, the diagnosis is not very difficult, so this article will not repeat them. This article aims to locate the diagnosis of adrenal tumors; the significance of steroid hormones in the differential diagnosis of Cushing’s syndrome; the choice of treatment methods; preoperative, intraoperative and postoperative management; adrenal surgery options and surgical outcomes Summary of issues such as