肾上腺意外瘤116例临床分析

Clinical analysis in 116 patients with adrenal incidentaloma

目的 从功能分布、病理结果揭示肾上腺意外瘤的常见病因及构成特点.方法 回顾性分析2015年1月1日至2017年1月1日收治的116例肾上腺意外瘤患者的临床资料.结果 116例肾上腺意外瘤患者中,男49例（42.2％）,女67例（57.8％）;年龄20～40岁14例（12.1％）,41～60岁63例（54.3％）,〉60岁39例（33.6％）.常规体检43例（37.1％）,高血压26例（22.4％）,因其他疾病行CT检查27例（23.3％）,其他20例（17.2％）.内分泌功能检查结果显示,肾上腺无功能腺瘤56例（48.3％）;肾上腺有功能腺瘤44例（37.9％）,其中原发性醛固酮增多症27例,库欣综合征10例,嗜铬细胞瘤7例;无功能非腺瘤16例（13.8％）.结论 健康体检时发现肾上腺意外瘤多见,同时应行内分泌功能检查并鉴别良恶性,必要时手术治疗.

Objective To reveal pathogenesis and etiology in adrenal incidentaloma. Methods The clinical data of 116 patients with adrenal incidentaloma from January 1, 2015 to January 1, 2017 were retrospectively analyzed. Results In 116 patients with adrenal incidentaloma, 49 cases （42.2%） were male and 67 cases （57.7%） were female; there were 14 cases （12.1%） aged from 20 to 40, 63 cases （54.3%） aged from 40 to 60, and 39 cases （33.6%） 〉 60 years. Forty-three patients （37.1%） were found by health examination, 26 patients （22.4%） were found because of hypertension, 27 patients （23.3%） were found by CT detection because of other diseases, and 20 cases （17.2% ） were found because of other reasons. The result of endocrine function examination showed that nonfunctioning adrenal tumor was in 56 cases （48.3%）; functional adrenal tumor was in 44 cases （37.9%）, among whom primary aldosteronism was in 27 cases, Cushing syndrome was in 10 cases, and pheochromocytoma was in 7 cases;nonfunctioning non- adenoma was in 16 cases （13.8% ）. Conclusions It is frequent that the adrenal incidentaloma is found by health examination. The patients with adrenal incidentaloma should examine the endocrine function and identify the benign or malignant. And if necessary, surgical treatment should be performed.