儿茶酚胺症的诊断和外科治疗（附48例报告）

Diagnosis and surgical treatment of hypercatecholaminiasis(48 cases

作者报告了４８例儿茶酚胺症，其中嗜铬细胞瘤４７例，肾上腺髓质增生１例。４７例嗜铬细胞瘤中有４０例位于肾上腺，肾上腺外７例，占１４．６％。定性诊断主要靠尿中去甲肾上腺素（ＮＥ）、肾上腺素（Ｅ）、ＶＭＡ测定及Ｒｅｇｉｔｉｎｅ试验。定位诊断主要依靠Ｂ超、ＣＴ。手术治疗为最佳有效的方法。对于分离困难的肿瘤，施行囊内剜除术，以减少出血和副损伤。

Forty--five cases of hypercatecholaminiasis were reported,among which 47 werepheochromocytoma and 1 was adrenal medullary hyperplasia. The characteristics of speciaI types ofpheochromocytoma were discussed The lesion of 40 cases was located in adrenal gland.Seven werenot located in adrenal tissue(14.6%).The qualitative diagnosis was made ,depending mainly on assayof epinephrine (E),norepinephrine (HE),VMA and Regitine test , local diagnosis ,on B--Ultrassoundand CT mainly.The best treatment for this disease was operation.For large pheochromocytoma,weused intracapsular extraction in order to reduce bleeding and secondary injury.