摘要
目的探讨CT诊断肾上腺皮质腺瘤临床诊断符合率。方法:对我医院从2000～2005年间经手术、病理证实的16例肾上腺皮质腺瘤的CT检查资料进行分析。其中男性9例,女性7例,年龄为24～65岁,平均年龄43岁。检查设备为GESynergyPlus型螺旋CT机,平扫和/或增强扫描。结果16例均为单侧发病,其中右侧5例,左侧11例。最小病灶为9×12mm,最大病灶为170×120mm。CT表现为肾上腺区圆形或椭圆形低密度或等密度影,边缘部分清楚,增强显示部分强化。结论①肾上腺皮质腺瘤CT表现有一定的特征性;②结合临床资料,肾上腺皮质腺瘤能与部分肾上腺病变鉴别。
Objective To improve the accordance of imaging diagnosis and CTnic diagnosis, the paper studied the CT findings of adrenal adenoma compared with pathology. Methods 16 cases（male：9 cases,Female：7 cases）adrenal adenoma from 2000 to 2005 which confirmed by pathology were retrospectively analysed, The age is from 21 to 62 years old （mean：43） , All the patients underwent CT scan （plain and enhanced CT） . GE Synergy Plus spiral CT were used. Results Sixeen cases were all unabilitary, 11cases in the right and 5 cases in the left. The minimum lesion is 9×12mm. The maximum is 170×120mm, The main imaging appearance was ball oroval, iso or signal low density mass on adrenal, partly enhancement on CT . Results ①Adrenal adenoma has characteristic imaging appearance on CT ; ②Combined with clinic date. Adrenal adenoma can be differentiated from other adrenal diseases.
