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目的 探讨肾上腺髓性脂肪瘤 (AML)临床特征和诊治方法。方法 对 2 0年间收治的 13例AML病例资料进行回顾性分析。结果 13例AML中仅 2例因单纯腹部胀痛就诊 ;左右侧及男女性别患病差别不大 ,B超和CT等确诊率高 ( 10 0 % ) ,瘤体直径大于 3 .5cm者 11例 ,手术 10例 ,穿刺活检 3例。结论 B超、CT等影像学方法是诊断AML的首选方法 ,瘤体直径大于 3 .5cm或症状明显者宜尽早手术治疗。
Objective To investigate the clinical features, diagnosis and treatment of adrenal myelolipoma (AML). Methods A retrospective analysis was performed on the data of 13 cases of AML admitted during the 20 years. RESULTS: Only 2 cases of 13 cases of AML had abdominal pain because of simple abdominal pain; the difference between left and right sides and gender was not significant, the diagnosis rate of B-ultrasonography and CT was high (100%), and the tumor diameter was greater than 3.5cm in 11 cases. There were 10 cases of surgery and 3 cases of biopsy. Conclusion The imaging methods such as B-ultrasonography and CT are the preferred methods for diagnosing AML. If the diameter of the tumor is greater than 3.5 cm or the symptoms are obvious, it is better to treat as early as possible.