摘要
目的对嗜铬细胞瘤的诊治进行临床评价和探讨。方法对23例住院嗜铬细胞瘤患者的临床资料和诊治情况进行回顾性总结分析。结果23例患者经病理证实为嗜铬细胞瘤，良性22例，恶性1例；嗜铬细胞瘤体位于肾上腺20例（髓质增生1例），异位嗜铬细胞瘤3例。临床均有高血压，其中阵发性高血压15例（65．2％），持续性高血压8例（34．8％），多数患者诉头痛、头晕。23例行尿3-甲氧基4-羟基苦杏仁酸检查，异常21例（91．3％）。B超检查23例，阳性21例（91．3％）；CT检查18例，阳性16例（88．9％）。2例术后复发，1例经剖腹探查证实原手术区为术后炎症粘连，未见原位生长的嗜铬细胞瘤。结论头痛、头晕是嗜铬细胞瘤最常见症状，高血压是嗜铬细胞瘤最常见体征，尿3．甲氧基-4-羟基苦杏仁酸检查是儿茶酚胺症定性诊断的最常用指标，B超、CT检查为嗜铬细胞瘤定位诊断的主要依据，手术切除为根本治疗方法。
Objective To investigate the diagnosis and treatment of pheochromocytoma. Methods The clinical data of 23 cases of pheochromocytoma were retrospectively analyzed. Results All of 23 cases were pathologically confirmed with pheochromocytoma, including 22 cases of benign, 1 case of malignant, 20 cases of pheochromocytoma located in adrenal gland, eetopic pheochromocytoma in 3 cases. All of the patients had hypertension, including 15 cases （65.2%） of paroxysmal hypertension, 8 cases （34. 8% ） of continuous hypertension, and most of the patients had headache and dizziness. Twenty cases underwent u- fine VAM examination, abnormal in 21 cases （91.3%）, 23 cases underwent B ultrasound examination, positive in 21 cases（91.3% ）, 18 cases underwent CT examination, positive in 16 cases（88. 9% ）. Re- lapse occurred in 2 cases. Conclusions Dizzy and headache are most common symptom. Hypertension is the most common physical sign. Urine VAM examination is the most common index of qualitative Localization is main based on uhrasonography and CT. Surgical resection is the main method. diagnosis.
出处
《中国实用医刊》
2013年第4期51-52,94,共3页
Chinese Journal of Practical Medicine
关键词
嗜铬细胞瘤
诊断
Pheochromocytoma
Diagnosis
