摘要
目的 :探讨肾上腺囊性疾病的诊治方法及手术适应征。方法 :总结我院 1980年 1月～ 2 0 0 0年 2月期间收治的肾上腺囊性疾病患者 2 3例临床资料 ,其中单纯性囊肿 16例 ,假性囊肿 6例 ,包虫性囊肿 1例。作保守治疗 3例 ;手术治疗 2 0例 ,其中作囊肿去顶减压 13例 ,肾上腺切除 4例 ,根治性肾上腺切除 1例 ,囊肿姑息性切除 1例 ,包虫内囊切除 1例。结果 :除 2例恶性肿瘤患者在 5个月内死亡外 ,2 1例患者均健在 ,临床症状消失。结论 :对直径 <3 cm的单纯性囊肿宜作保守治疗 ,严密随访 ;对假性囊肿 ,包括出血及肿瘤源性、寄生虫性、直径 >3 cm的单纯性囊肿 ,宜采用手术治疗。
Purpose:To study ways of diagnosis and treating cystic disease of adrenal gland and the indication of operation. Methods:Summarize the records of 23 cases hospitalized during the time from January 1980 to February 2000. Among them: Simple cyst, 16 cases; pseudo cysts, 6 cases; hydatid cyst, 1 case. 3 cases were carried out with conservation treatment, 20 cases were treated surgically. Cystoid fenestration was adopted in 13 cases, the resection of adrenal gland, in 4 cases; radical resection of adrenal gland, in 1 case; palliative cyst resection, in 1 case; hydatid cyst excision, in 1 case.Results:21 cases who were paid a return visit are all still living and in good health and with clinical symptoms disappeared, except that 2 cases who had malignant tumor were died in 5 months. Conclusions:Those who have simple cysts with diameters less than 3 cm should be treated conservatively, and that of pseudo cysts including hemorrhage and tumor, parasitic cysts and simple cysts with diameters greater than 3 cm should be treated surgically.
出处
《临床泌尿外科杂志》
2001年第8期344-345,共2页
Journal of Clinical Urology
