腹膜后巨大副神经节瘤1例诊治分析

Diagnosis Analysis and Treatment of 1 Case Retroperitoneal Paraganglioma

目的:研究副神经节瘤的临床特点及治疗方法。方法:总结分析腹膜后副节瘤的诊治经验,探讨术前准备及手术操作的注意事项。结果:术前检查难以定性诊断,术中血压波动较大,手术治疗有效。结论:腹膜后副神经节瘤罕见,缺乏典型临床表现,诊断困难,误诊率高。手术切除是目前唯一有效治疗方法,术中及术后应重点观察血压变化。

Objective： To investigate clinical characteristics and therapeutic method of paraganglioma. Methods： To conclude and analyze experience in diagnosis and treatment of retroperitoneal paraganglioma ,and to furtherly explore the points for attention within preoperative preparation and operative procedure. Results：It＇s difficult to qualitatively diagnose during preoperative examination ; intraoperative blood pressure fluctuates; thus, surgical treatment is effective. Conclusions： Retroperitoneal paraganglioma rarely occurs, attributed to the lack of typical clinical manifestations, diagnostic difficulties and the high rate of misdiagnosis. Up to now, surgical resection is the only effective treatment. The change of intraoperative and postoperative blood pressure should be mainly attended.