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目的:探讨副神经节瘤临床特点及诊断治疗。方法:回顾性分析2000年1月～2009年12月收治18例副神经节瘤患者的临床资料。结果:18例患者血压为150～230/90～150mmHg(1mmHg=0.133kPa),腹部疼痛4例,位于肾门旁8例,肾下极3例,腹主动脉前肠系膜根部3例,膀胱内2例,髂总动脉旁2例。手术治疗17例,良性15例,恶性2例。肿瘤直径3～11cm;1例在等待手术过程中并发脑血管意外死亡。15例随访1～10年,血压术后均有不同程度下降,其中12例于1周～0.5年完全恢复正常,3例服用降压药物后容易下降到正常范围。结论:副神经节瘤手术前定位困难,容易漏诊,手术治疗是最有效的方法,术中血压波动较大,需要作充分手术前准备。
Objective: To investigate the clinical characteristics and diagnosis and treatment of paraganglioma. Methods: The clinical data of 18 patients with paraganglioma from January 2000 to December 2009 were analyzed retrospectively. Results: The blood pressure of 18 patients was 150-230 / 90-150mmHg (1mmHg = 0.133kPa), abdominal pain was 4 cases, 8 cases were located at renal portal, 3 cases were lower anterior electrode, 3 cases were anterior mesentery of abdominal aorta, 2 cases, 2 cases of common iliac artery. Surgical treatment in 17 cases, benign in 15 cases, 2 cases of malignancy. Tumor diameter 3 ~ 11cm; 1 case of cerebrovascular accidental death while waiting for surgery. Fifteen patients were followed up for 1 to 10 years. Blood pressure decreased to varying degrees after operation. Twelve of them were completely recovered from 1 week to 0.5 years, and 3 patients were prone to fall to the normal range after taking antihypertensive drugs. Conclusion: Paraganglioma tumor is difficult to locate before surgery. It is easy to miss diagnosis. Surgical treatment is the most effective method. Fluctuation of blood pressure during surgery is very large and needs to be fully prepared for surgery.