摘要
目的探讨腹膜后异位嗜铬细胞瘤的诊断和治疗。方法回顾分析2005年1,9-2010年12月收治的经手术病理证实的腹膜后异位嗜铬细胞瘤13例患者的临床资料。结果有典型临床表现者4例，术前13例均行CT检查，7例行24h尿香草扁桃酸及血儿茶酚胺检测，术前确诊者4例。均手术切除，术中血压波动者10例。5例高血压者，术后血压恢复正常4例，口服降压药控制良好1例。结论腹膜后异位嗜铬细胞瘤是一种临床上很容易被忽视的疾病，易产生不良后果。加强对该病的认识、注意围手术期及术中处理是诊断和治疗的关键。
Objective To investigate the clinical manifestation, diagnosis and treatment of rctroperitoneal ectopic pheochromocytomas.Methods Data of 13 cases with retroperitoneal ectopic pheochromocytomas from 2005 to 2010 was retrospectively analysed.Results 4 cases have the typical clinical manifestation of pheochromocytomas.CT scan was performed in all cases,24 hour urinary VMA and serum catecholamine were examined in 7 cases,4 cases were diagnosed before operation, all cases undergone operation.The blood pressure of 10 cases fluctuated between operation,and the hypertension of 4 cases were cured after surgical treatment while 1 case received drug therapy and blood pressure was controlled effectively.Conclusion Retroperitoneal ectopic pheochromocytomas is usually be disregarded.Recognization and peroperative period treatment are very important in diagnosis and therapy.
出处
《中国血液流变学杂志》
CAS
2011年第4期664-666,671,共4页
Chinese Journal of Hemorheology
关键词
异位嗜铬细胞瘤
原发性腹膜后肿瘤
诊断
治疗
Ectopic pheochromocytomas
Primary retroperitoneal tumor
Diagnosis
Treatment
