32例肾上腺肿瘤临床治疗分析

Analysis of clinical treatment of 32 patients with adrenal tumors

报告肾上腺肿瘤32例，其中28例行手术治疗，3例行化疗及介入治疗，1例未手术。结果手术治愈26例。病理证实为嗜铬细胞瘤8例，髓样脂肪瘤5例，皮质腺癌5例，皮质腺瘤3例，节细胞神经瘤3例，副神经瘤2例，肾上腺囊肿1例，恶性淋巴瘤（B）弥漫型1例。其中6例为肾上腺转移启。对肾上腺肿瘤围手术期的并发症和处理原则等进行了讨论，强调：①围手术期的充分准备是减少手术并发症的保证；②应重视少见性肾上腺肿瘤及肾上腺转移瘤的发生率。

32 patients with adrenal tumors were admitted to our hospital. Of which 28 cases were treated by operation,and 26 cases were surgically cured. 8 cases can be diagnosed as adrenal pheochromocytoma by pathological examinations, 5 cases adrenal myelolipoma, 5 cases adrenocorti cal adenocarcinoma, 3 cases adrenocortical adenoma, 3 cases adrenal ganglioneuroma, 2 cases a drenal paraganginma,1 case adrenal cysts,and 1 case adrenal lymphoma. Of these patients,6 cases were metastatic adrenal tumors. The perioperation complication and treatment principle were dis cussed.