摘要
目的 探讨偶发肾上腺肿瘤随访观察期间的危险性因素。 方法 通过单因素分析方法对 4 3例偶发肾上腺肿瘤病人危险因素进行筛选 ,进行Logistic回归多因素分析。 结果 经过平均 (4.0± 1.2 )年的随访观察 ,2 1例施行手术治疗 ,其中恶性肿瘤 4例。多因素分析显示肿瘤大小 (P=0 .0 18)和激素或其代谢产物异常 (P =0 .0 39)是偶发肾上腺肿瘤进一步手术治疗的危险因素。 结论 危险因素分析对于衡量手术风险与恶性倾向的关系有重要意义。
Objective To assess the risk factors of adrenal incidentalomas during follow up. Methods In 43 patients with adrenal incidentalomas, the significant risk factors were screened by univariate analysis, and the multivariate analysis was evaluated by logistic regression. Results After an average of (4.0±1.2)years of follow up,4 out of in 21 patients with adrenalectomy were verified to be malignant. By means of multivariate analysis, tumor size ( P =0.018)and abnormal level of hormonal or its metabolic products ( P =0.039)were the risk factors for adrenal incidentalomas and adrenalectomy should be considered when indicated. Conclusions The gains and losses of open surgery for adrenal incidentalomas should be weighed up.If the evaluation of risk factors reveals a possibility of malignancy,adrenalectomy should be undertaken.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
2002年第4期198-199,共2页
Chinese Journal of Urology
