目的 对肾上腺肿瘤及肿瘤样变多层螺旋CT影像特征进行分析并明确其临床应用与诊断价值.方法 选取本院手术治疗并术中送病理科检验确诊为肾上腺肿瘤以及肾上腺肿瘤样变患者共计26例,调取全部纳入病例患者术前多层螺旋CT检查影像及三维重建影像进行回顾性分析.结果 26例患者中肾上腺肿瘤共计9例,髓样脂肪瘤共6例,肾上腺转移癌8例,嗜铬细胞瘤共3例.肾上腺肿瘤及恶性病变CT显示结果较为细微,细节突出,能够对其疾病进行临床诊断以及术前确诊指导.结论 多层螺旋CT影像能够实现对肾上腺疾病进行细微影像学检查,同时图像更加清“,”Objective To analyze the imaging features of adrenal tumors and tumor like changes by multi-slice spiral CT, and to clarify its clinical application and diagnostic value. Methods a total of 26 patients with adrenal tumor and adrenal tumor like change were selected. The preoperative multi-slice spiral CT images and three-dimensional reconstruction images of all patients were analyzed retrospectively. Results among the 26 patients, there were 9 cases of adrenal tumors, 6 cases of myelolipoma, 8 cases of adrenal metastatic carcinoma and 3 cases of pheochromocytoma. The CT findings of adrenal tumors and malignant lesions are subtle and detailed, which can guide the clinical diagnosis and preoperative diagnosis of the disease. Conclusion multislice spiral CT can realize the fine imaging examination of adrenal diseases, and the image is clearer. Therefore, it has stronger application ability in the early diagnosis of adrenal tumors and tumor like changes, and has more significant clinical application value.