共查询到20条相似文献,搜索用时 8 毫秒
1.
2.
目的探讨后腹腔镜在肾上腺肿瘤手术中的应用。方法2000年2月~2004年6月应用后腹腔镜手术治疗肾上腺肿瘤疾病100例,其中单纯肿瘤切除24例,肾上腺部分切除43例,肾上腺全切除31例,肾上腺囊肿切除2例。结果本组100例均取得手术成功,平均手术时间100min,术后平均住院6d。结论后腹腔镜手术安全有效,创伤小,康复快,除肿瘤>6cm、功能性嗜铬细胞瘤、肥胖体形的皮质醇症外,均为肾上腺良性肿瘤手术的首选方法。 相似文献
3.
Adenomatoid tumors of the adrenal gland are rather rare, asymptomatic neoplasias with benign behavior and usually are diagnosed incidentally. The authors report a case of an adenomatoid tumor of the right adrenal gland in a 32-year-old man who sought evaluation because of fever and renal pain. During investigation a tumor, localized in right adrenal gland, was identified by ultrasonography and CT. The patient underwent adrenalectomy with histopathological and immunohistochemical diagnosis of adenomatoid tumor of the adrenal gland. Based on literature data the epidemiology, symptoms, differential diagnosis, treatments, histopathology and prognosis of adenomatoid tumors of the adrenal gland are discussed. 相似文献
4.
5.
Z Bencsik I Szabolcs M Góth O Dohán L Kovács I Kaszás G Gonda I Szilvási G Szilágyi 《Orvosi hetilap》1999,140(11):587-590
149 patients with adrenal incidentalomas were examined. Sixty-eight cases were histologically confirmed, five of them had ganglioneuromas. On the basis of these patients history current knowledge of this benign tumour was summarized. Histological and pathological characteristics of one tumour suggest that ganglioneuromas may develop by maturing of malignant neuroblastic tumours. The clinical symptoms (abdominal pain, meteorism) were local. In 2 of 5 cases mildly elevated levels of urinary vanillylmandelic acid and catecholamine could be measured. One patient had persisting hypertension after surgery. In an other patient previous diarrhoea stopped after the removal of tumour. On the basis of ultrasound and computertomographic features, the size and origin of a tumour and its relation to the surrounding organs can be well characterized. One patient was inoperable because of an infiltratively spreading tumour, but during five years of follow-up no tumour progression could be observed with computertomography. After surgery we could follow only 2 of 4 patients. Until now no recurrence of tumour were detected. 相似文献
6.
7.
During a six-month period the authors have been diagnosing 25 neonatal adrenal haemorrhage by 870 ultrasound screening examinations. This frequency (28.7%) is surprisingly high in comparison with earlier postmortem estimated literature data (1.7-6.0%). In 24 survived neonates the adrenal haemorrhage was absorbed between 6 weeks and 4 months, no disturbances in the electrolyte levels were found, and the haemorrhage did not require any treatment. However, the authors observed pathological neurological symptoms or intracranial haemorrhage as more than 30% of the newborn infants suffering from adrenal haemorrhage. On the basis of ultrasound signs of adrenal haemorrhages the authors distinguish three groups, namely, cortical, medullar and apoplectiform haemorrhages. By analysing the history, clinical symptoms and follow up study of adrenal haemorrhages in the newborn period the authors conclude that infants born as "large for date babies", suffered from intrauterine asphyxia, forceps or vacuum extractions can be taken the risk of adrenal haemorrhage. 相似文献
8.
9.
QUERIDO A 《Nederlands tijdschrift voor geneeskunde》1949,93(40):3391-3400
10.
目的 评价超声引导下冷循环微波刀治疗肾上腺转移瘤的临床效果及安全性.方法 选取肾上腺转移瘤患者共23例,病灶总数24个,其中病灶直径≤2.0cm者3个,2.1~3.9 cm者17个,4.0~5.9 cm者3个,≥6.0cm者1个,经冷循环微波刀治疗1个月后行螺旋CT双期增强扫描评价肿瘤治疗效果.结果 经冷循环微波刀治疗后肿瘤直径≤2.0、2.1~3.9、4.0~5.9、≥6.0cm的病灶达到完全坏死者分别为3、17、1、0个,不完全坏死者分别为0、0、2、0个,部分坏死者分别为0、0、0、1个.治疗中15例患者消融区域有不同程度疼痛感,3例患者出现血压升高,4例患者术后出现Ⅰ~Ⅱ度皮肤烧伤,经对症治疗后均缓解或痊愈.结论 冷循环微波刀治疗肾上腺转移瘤安全可靠,不良反应小,是治疗肾上腺转移瘤的有效方法之一. 相似文献
11.
12.
13.
14.
15.
16.
17.
肾上腺囊肿的免疫组织化学分析 总被引:1,自引:0,他引:1
目的 探讨肾上腺囊肿的病因,提高对肾上腺囊肿的认识。方法 复习13例肾上腺囊肿的临床病理资料;应用免疫组织化学方法(Envision法)检测囊壁FⅧ-RA、CD3 4 和PAN -Cytokeratin的表达情况。结果 2例免疫组织化学检测PAN -Cytokeratin呈强阳性表达;1例FⅧ-RA、CD3 4 呈强阳性表达;5例假性囊肿FⅧ-RA或CD3 4 呈灶性表达,其中1例囊壁周围肾上腺组织HE染色确诊为肾上腺血管瘤,1例为血管畸形。结论 部分肾上腺囊肿来源于肾上腺脉管畸形或血管瘤。 相似文献
18.
目的:报告1例肾上腺神经鞘瘤.方法:回顾性分析1例肾上神经鞘瘤病人的临床资料.结合文献讨论此病的诊断及治疗方法.结果:1例肿瘤经后腹腔镜手术切除,病理学证实为良性.结论:肾上腺神经鞘瘤的术前诊断困难,手术切除是唯一治疗方法.确诊需依赖病理学检查. 相似文献
19.