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目的:提高肾上腺血管瘤的诊治水平。方法:回顾性分析我院收治的1例肾上腺蔓状血管瘤患者的临床资料,总结归纳其临床特征及影像学CT表现,并结合相关文献综合分析。结果:患者系体检发现左侧肾上腺区肿物1年入院。体检无明显阳性体征。生化、内分泌等实验室检查均在正常范围。CT表现为类圆形低密度灶、边缘弧形钙化影,增强三期无明显强化的特点。患者于全麻下行腹腔镜左侧肾上腺肿瘤切除术,术中见肿瘤最大径7cm,呈椭圆形、囊性,有完整包膜。术后病理检查提示为肾上腺蔓状血管瘤。结论:肾上腺蔓状血管瘤临床罕见,无特异性临床表现,极易误诊。对于有典型血管瘤表现的肾上腺肿瘤,需考虑诊断为此病。而直径大于6cm的肾上腺蔓状血管瘤,建议手术治疗,手术方式首选腹腔镜肾上腺肿瘤切除术,术中应尽量保持正常肾上腺组织。
Objective: To improve the diagnosis and treatment of adrenal hemangiomas. Methods: The clinical data of one case of adrenal hemangioma in our hospital were retrospectively analyzed. The clinical features and imaging CT findings were summarized. Combined with relevant literature analysis. Results: The patient was found on the left side of the adrenal area for 1 year on admission. Physical examination no obvious positive signs. Biochemical, endocrine and other laboratory tests are in the normal range. CT showed round-like low-density lesions, edge curved calcification, enhanced three without significant enhancement. Patients underwent laparoscopic surgery under general anesthesia resection of the left kidney, see the maximum diameter of 7cm surgery, oval, cystic, complete capsule. Postoperative pathological examination prompted the adrenal vascular hemangioma. Conclusion: The adrenal vascular hemangioma is clinically rare and has no specific clinical manifestations. It is easily misdiagnosed. Adrenal tumors with typical hemangiomas should be considered for diagnosis. The diameter of more than 6cm of adrenal hemangioma, it is recommended surgical treatment, surgical choice of laparoscopic adrenalectomy surgery, surgery should try to maintain normal adrenal tissue.