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目的 探讨CT导向下经皮细针穿刺化学消融术治疗肾上腺肿瘤的价值。方法 CT导向下经皮细针穿刺化学消融术治疗 37例肾上腺肿瘤 ,其中无功能性腺瘤 11例、皮质醇腺瘤 5例、醛固酮腺瘤 7例、转移瘤 14例 (2 0个病灶 )。病灶瘤径小于 3cm者注射无水乙醇治疗 ,大于 3cm者注射 5 0 %冰醋酸治疗。结果 10个瘤径小于 3cm的良性肿瘤治疗后仅残留少许纤维影 ;16个大于3cm的良性肿瘤均有进行性缩小 ;8个转移瘤灶缩小 1/3以上 ,5个转移瘤灶治疗后瘤径无变化但瘤体内存在大面积低密度坏死区 ,7个转移瘤灶有增大并合并其他部位多发转移。全部功能性肾上腺肿瘤治疗后血液中激素水平恢复到正常范围。结论 CT导向下经皮细针穿刺化学消融术治疗肾上腺肿瘤是 1种效果显著、创伤性小、操作简便的介入方法。
Objective To investigate the value of CT guided percutaneous fine needle aspiration ablation in the treatment of adrenal tumors. Methods Thirty - seven cases of adrenal tumors were treated with CT guided percutaneous fine needle aspiration ablation. There were 11 cases of non - functioning adenoma, 5 cases of cortisol adenoma, 7 cases of aldosterone adenoma and 14 cases of metastases (20 lesions). The tumor diameter less than 3cm were treated with ethanol injection, more than 3cm injection of 50% glacial acetic acid treatment. Results 10 benign tumors with tumor diameter less than 3 cm remained only a few fibroids after operation; all 16 benign tumors larger than 3 cm were progressively reduced; 8 metastases reduced by 1/3 or more; 5 metastases There was no change in path but there was a large area of low-density necrosis in the tumor. The seven metastatic tumors increased and merged with other parts of multiple metastasis. All functional adrenal tumors after treatment of blood hormone levels returned to normal range. Conclusion CT guided percutaneous fine needle aspiration ablation of adrenal tumors is a significant effect, less traumatic, easy to use interventional method.