摘要
目的提高肾上腺嗜铬细胞瘤的诊断治疗水平,完善其围手术期处理。方法对74例经手术治疗的肾上腺嗜铬细胞瘤患者的临床资料进行回顾性分析,有典型儿茶酚胺症状者68例,B超、CT、MR1定位检查阳性率分别为85.8%、97.1%和100%。结果所有患者手术成功切除肿瘤,共77个,经病理检查证实良性66例,恶性8例。该组无手术死亡病例。结论肾上腺嗜铬细胞瘤主要根据临床表现、实验室定性检查及影像学定位检查来明确诊断。术前血压控制、充分扩容、改善心功能、纠正心衰,术中应用升压药物等围手术期处理是确保手术成功的重要因素。
Objective To improve the diagnosis and treatment of pheochromocytoma and evaluate the treatment strategy around the operation. Methods 74 cases of pheochromocytoma diagnosed and treated between 2003 and 2006 were reviewed and studied：there were 68 cases with high blood catecholamine. The accurate localization rate of the tumors was 85.8 % for B - uhrasonography, 97. 1% for CT and 100% for MRI. Results 77 tumors was successfuly cut in the operation of all cases. The diagnosis was confirmed by pathologic studies. 66 cases were benign and other 8 cases were malignant. Conclusion The procedures of the qualitative and locative diagnosis of adrenal gland pheochromocytoma include clinical manifestations and imaging investigation. Adequate preoperative preparation is important included control of blood pressure and arrhythmia, expansion of the blood volume. Fluctuation of blood pressure have to be monitored during surgery and to be treated carefuly and promptly.
出处
《医药论坛杂志》
2007年第8期8-9,共2页
Journal of Medical Forum
关键词
肾上腺肿瘤
嗜铬细胞瘤
诊断
治疗
Adrenal gland neoplasms
Pheochromocytoma
Diagnosis
Treatment
