摘要
目的 探讨皮质醇性肾上腺腺瘤的临床及CT表现特点。方法 回顾性分析18例经实验室检查及手术病理证实的皮质醇性肾上腺腺瘤，分析其临床、肾上腺CT平扫与增强检查表现特点及其诊断价值。结果 18例皮质醇性肾上腺腺瘤患者，临床表现向心性肥胖16例，高血压18例，性功能障碍10例，神经、精神障碍13例。CT所见病变位于肾上腺，呈边界清晰类圆形或类椭圆形，平均直径3．4cm，平扫CT值25～45HU，增强扫描病灶强化。结论 皮质醇性肾上腺腺瘤临床及CT表现有一定特征性，结合实验室检查可以明确诊断。
Objective Study on characteristics of hypercortisolism with adrenal gland adenoma by clinic and CT. Methods 18 cases of Adrenal gland cortisel adenoma with pathological diagnosis after operation and laboratory diagnosis were studied retrospectively. Every case record its clinic performance, carrying on the adrenal glands CT precontrast scan and post contrast scan. Results Among 18 cases of Adrenal gland cortisol adenoma, 16 cases with centripetal fat, 18 cases with high blood pressure, 10 cases with sexual function obstacleses, and 13 eases have neural or mental obstacleses. The pathological changes locates the adrenal glands, presenting the boundary＇s clear, circular or oval, the average diameter is 3.4 era, precontrast scan the CT number between 25 - 45 HU, pest contrast scan the focus to be enhanced. Conclusion The clinic and the CT performances of adrenal gland cortisol adenoma contain certain characteristic, combine the laboratory check we can make definitely diagnosis.
出处
《中国全科医学》
CAS
CSCD
2006年第13期1106-1107,共2页
Chinese General Practice
