期刊文献+

肾上腺嗜铬细胞瘤的诊治体会(附37例报告)

Experiences in Diagnosis and Treatment of Adrenal Pheochromocytoma(Report of 37 Cases
原文传递
导出
摘要 目的:探讨肾上腺嗜铬细胞瘤的诊治方法。方法:回顾性分析我院1995年10月-2008年10月收治37例肾上腺嗜铬细胞瘤的临床资料,总结其主要临床表现、手术方法及围手术期血压的控制方法。结果:37例患者均行手术治疗,其中35例术后血压恢复正常,2例术后血压未降至正常水平。结论:肾上腺嗜铬细胞瘤的诊断主要依靠多种内分泌激素的测定及B超、CT的定位检查,确诊依赖于病理检查,手术切除是有效的治疗方法。术前的降压、扩容和术后的补液升压等围手术期的处理是手术治疗成功的关键。 Objective:To evaluate the diagnosis and treatment of adrenal pheochromocytoma.Methods:Retrospective analysis of our hospital in October 1995~October 2008 admission of 37 cases of adrenal pheochromocytoma clinical data,summing up its main clinical manifestations,surgical techniques and perioperative blood pressure control methods.Results:37 cases of patients underwent surgical treatment,of which 35 cases of postoperative blood pressure returned to normal,after two cases of blood pressure is not reduced to normal levels. Conclusion: Adrenal pheochromocytoma diagnosis mainly depends on the determination of a variety of endocrine hormone and B-U, CT positioning examination, diagnosis relies on pathological examination, surgical resection is an effective method of treatment. Preoperative blood pressure, expansion and after rehydration, such as boost the treatment of perioperative surgical treat ment is the key to success.
出处 《华西医学》 CAS 2009年第8期1973-1974,共2页 West China Medical Journal
关键词 肾上腺肿瘤 嗜铬细胞瘤 诊断 治疗 adrenal tumors pheochromocytoma diagnosis treatment
  • 相关文献

参考文献5

  • 1黄循.嗜铬细胞瘤.见:主吴阶平编.吴阶平泌尿外科[M].济南:山东科学技术出版社,2005:1681-1690.
  • 2PARK M, HRYNIEWICZ K, SETARO J F. et al. Pheochrornoeytoma presenting with myocardial infarction, cardiomyopathy, renal failure, pulmonary hemorrhage, and cyclic hypotension: case report and review of unusual presentations of pheochromoeytoma[J]. J Clin Hypertens, 2009,11 (2) : 74-80.
  • 3宫大鑫,孔垂泽.特殊类型嗜铬细胞瘤[J].临床泌尿外科杂志,2006,21(1):74-76. 被引量:2
  • 4杨绍波,宫大鑫,刘贤奎,孙志熙,王平,孔垂泽.肾上腺偶发嗜铬细胞瘤[J].中国医科大学学报,2004,33(3):276-277. 被引量:4
  • 5闵捷.肾上腺嗜铬细胞瘤的治疗体会[J].中国临床医生杂志,2004,32(8):29-30. 被引量:4

二级参考文献20

  • 1Glazer, H. S. , Weyman, P. J. , Sagel, SS, et al. Nonfunctioning adrenal masses: incidental discovery on computed tomography [J].Am J Roentgenol,1982,139(1) :81 -85.
  • 2Herrera, MF, Grant, CS, van Heerden JA, et al. Incidentally discovered adrenal tumors: an institutional perspective [J]. Surgery,1991,110 (6): 1014 -1021.
  • 3Luisa Barzon, Marco Boscaro. Diagnosis and management of adrenal incidentalomas [J]. J Urol,2000,163(2) :398 -407.
  • 4Mantero F, Terzolo M, Amaldi G, Osella G, etal. A survey on adrenal incidentaloma in Italy [J]. J Clin Endocrinol Metab,2000,85(2) :637 -644.
  • 5Sutton MG, Sheps SG, Lie JT. Prevalence of clinically unsuspected pheochromocytoma. Review of a 50-year autopsy series [J]. Mayo Clin Proc,1981,56(6) :354 -360.
  • 6Luisa B,Marco B.Diagnosis and management of adrenal incidentalomas[J].J Urol,2000,163,398-407.
  • 7Mundschenk J,Unger N,Schulz S,et al.Somatostatin receptor subtypes in human pheochromocytoma:subcel lular expression pattern and functional relevance for octreotide scintigraphy[J].J Clin Endocrinol Metab,2003,88:5150-5157.
  • 8Komori T,Narabayashi I,Doi K,et al.A case of local recurrent pheochromocytoma:usefulness of 123I MIBG early SPECT and maximum intensity projection images[J].Clin Nucl Med,2000,25:285-287.
  • 9Lumachi F,Polistina F,Favia G,et al.Extraadrenal and multiple pheochromocytomas.Are there really any differences in pathophysiology and outcome[J]? J Exp Clin Cancer Res,1998,17:303-305.
  • 10Van Y H,Wang H S,Lai C H,et al.Pheochromocyto ma presenting as stroke in two Taiwan Residents children[J].J Pediatr Endocrinol Metab,2002,15:1563-1567.

共引文献7

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部