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对垂体依赖性综合征一库兴氏病,早期通常采用肾上腺次全切除术,几乎所有的病人都迅速好转,但也有的病人复发,多数病例都需要类固醇替代治疗,因此,治疗又倾向双侧肾上腺全切除术。 目前广泛采用的治疗库兴氏病的疗法,将可能取代肾上腺切除术。其中有药物治疗、垂体内或外照射、垂体腺瘤显微外科切除术。这些疗法是否比肾上腺切除术疗效更好还不清楚,本文报告了肾上腺切除术后长期疗效结果。
In the case of Cushing’s disease of the pituitary-dependent syndrome, subtotal adrenalectomy is commonly used in the early stages. Almost all patients quickly recover, but some patients relapse. Most cases require steroid replacement therapy. Therefore, treatment tends to be bilateral. Adrenalectomy. The widely used treatment for Cushing’s disease will probably replace adrenalectomy. Among them, drug therapy, pituitary or external irradiation, microsurgical resection of pituitary adenoma. Whether these therapies are better than adrenalectomy is unclear, and this article reports the long-term outcome after adrenalectomy.