摘要
自1958年5月~1994年1月行肾上腺皮质与髓质肿瘤手术共651例,其中75例术前同时进行了IVU、B超、CT及γ照相检查,其肿瘤定位符合率分别是2.7%、88%、86.7%及73.3%.我们体会对肾上腺肿瘤可采用B超和CT定位,这二项检查可相互补充,我们根据其中任何一项阳性定位手术探查尚未遇假阳性结果.当这二项检查定位有困难时选用γ照相则有助于肾上腺肿瘤的定位.MIBG对多发性嗜铬细胞瘤,肾上腺外嗜铬细胞瘤以及恶性嗜铬细胞瘤的转移灶定位有其独特的优点.
From May 1958 to January 1994, 651 patients with tumors of adrenal cortex and medulla were treated surgically. Preoperative IVU,B-type ultrasonography,CT and scintigraphy were carried out simultaneously in 75.The conformable rates of these modalities were 2,7%, 88%, 86.7%and 73.3% respectively. As a routine,we usually employ sonography and CT in localizing adrenic tumors as they can be mutually replenished. Surgical exploration always verified the positive localization of sonography or CT.Only when difficulty was encountered with these two methods,scintigraphy was added. There are special merits with MIBG imaging examination for the localization of multi-pheochromocytoma, extra-adrenal pheochromocytoma and matastatic malignant pheochromocytoma.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
1995年第3期168-171,共4页
Chinese Journal of Urology