肾上腺偶发瘤51例临床分析

Clinical analysis of 51 cases with a symptomatic adrenal incident Loma

目的提高肾上腺偶发瘤的诊断和治疗水平。方法对2005年5月～2010年10月该院收治的51例肾上腺偶发瘤的临床资料进行分析,并复习近期国内外相关文献。结果 51例肾上腺偶发瘤患者年龄17～78岁,平均40.4岁,无内分泌功能肿瘤31例(60.8%),有内分泌功能肿瘤20例(39.2%);行腹腔镜手术切除38例(74.5%),其中4例中转开发,首选开放手术切除7例(13.7%),未手术6例(11.8%),术后病理诊断:43例为良性肿瘤,2例为恶性肿瘤。结论全面系统的影像学检查结合实验室检查有助于肾上腺偶发瘤的定位及定性诊断,腹腔镜手术是肾上腺偶发瘤的首选术式。

Aim To improve the diagnosis and treatment of symptomatic adrenal incident Loma.Methods 51 cases with a symptomatic adrenal incident Loma were reviewed from May of 2006 to October 2010,and the relative papers in recent years were also reviewed.Results 0f the 51 cases with symptomatic adrenal incident Loma,the age ranged from 17 to 78 years old and mean age was 40.4 years old.31 cases（60.8%） were tumors without secretary function and 20 cases（39.2%）were tumors with secretary function.38 cases（74.5%） were treated through laparoscopic adrenalectomy,and 4 cases of whom were changed to traditional surgery 7 cases（13.7%） with tumors were treated by traditional surgical ways and 6 cases（11.8%） were not treated by operation.Pathological diagnosis showed that 43 cases were benign and 2 cases were malignant.Conclusion The diagnosis of symptomatic adrenal incident Loma should be supported by imaging techniques and laboratory tests.Retmperitoneal laparoscopic treatment of adrenal incident Loma can be the first choice of surgical method.