皮质醇症是较常见的内分泌疾病,对全身的代谢影响很大,如果不治疗,约半数病人将在发病后五年死于各种合并症。肾上腺皮质增生占皮质醇症70～80%,病因尚不明确,至今还缺乏理想的治疗方法。目前国内外仍以肾上腺切除术为主要的疗法,肾上腺次全切除术缓解率为60%,复发率约30%,复发后再手术很困难,60年代后肾上腺全切除术有增多倾向。1975年以后,我科多采用肾上 Cortisol is a more common endocrine disease and has a great impact on the metabolism of the whole body. If it is not treated, about half of the patients will die from various complications five years after the onset. Adrenocortical hyperplasia accounts for 70-80% of cortisol, and the cause is not yet clear. There is still no ideal treatment. At present, adrenalectomy is still the main treatment at home and abroad. The remission rate of subtotal adrenalectomy is 60%, and the recurrence rate is about 30%. Reoperation after relapse is difficult. After the 1960s, adrenalectomy has increased. After 1975, our department used kidneys