摘要
目的 :总结肾上腺囊肿的诊断和治疗经验。方法 :回顾性分析 14例肾上腺囊肿的临床资料 ,复习文献并讨论肾上腺囊肿的诊断和治疗。结果 :术前B超、CT、MRI诊断正确率分别为 4 2 .8% (6 / 14 ) ,5 4 .5 % (6 / 11)和 10 0 % (5 / 5 ) ;联合应用B超、CT或MRI,术前诊断正确率为 78.5 % (11/ 14 ) ;14例均行手术治疗 ,病理诊断假性囊肿 5例 ,上皮性囊肿 2例 ,内皮性囊肿 4例 ,非特异性囊肿 3例。结论 :合理有序地联合应用B超、CT和MRI能提高肾上腺囊肿的诊断正确率 ,治疗方法取决于囊肿大小、是否有并发症 。
Purpose:To present our experience of diagnosis and surgical treatment of adrenal cyst. Methods:14 cases of adrenal cyst treated from 1996 to August 2002 were retrospectively studied and discussed with review of the literature. Results:The preoperative correct diagnosis ratio by B US, CT and MRI were 42.8 %(6/14), 54.5 %(6/11)and 100 %(5/5) respectively. The overall correct diagnosis ratio was 78.5 % by a combination of B US, CT and MRI examination. All of these patients underwent operation. The pathological findings were: 2 epithelial cyst (cystic adenoma), 4 endothelial cysts, 3 no specific cyst and 5 pseudocysts. Conclusions:The preoperative correct diagnosis of adrenal cyst could be improved by using B US, CT and MRI rationally. The treatment of adrenal cyst depended on the cyst size and complications. Laparoscopic resection of adrenal cyst was the first choice for surgical treatments.
出处
《临床泌尿外科杂志》
2003年第5期267-268,共2页
Journal of Clinical Urology
关键词
肾上腺囊肿
诊断
治疗
腹腔镜
Adrenal cyst
Diagnostic imaging
Laparoscopic
