| 肾上腺嗜铬细胞瘤的诊断与治疗 |
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| 引用本文： | 卫生民,王文生,程远合,史梦年. 肾上腺嗜铬细胞瘤的诊断与治疗[J]. 河南科技大学学报(医学版), 2002, 20(4): 280-281 |
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| 作者姓名： | 卫生民 王文生 程远合 史梦年 |
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| 作者单位： | 1. 洛宁县妇幼保健院泌尿外科,河南,洛宁,471700
2. 河南科技大学附属医院泌尿外科,河南,洛阳,471003 |
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| 摘 要： | 目的 提高肾上腺嗜铬细胞瘤的诊断与治疗水平。方法 对 2 4例肾上腺嗜铬细胞瘤患者的临床资料进行回顾性分析。结果 临床表现为高血压者 2 3例 (95 .8% ) ,尿VMA检查 2 4例 ,阳性 2 3例 (95 .8% ) ,B超、CT及MRI诊断阳性率分别为 6 2 .5 %、10 0 %及 10 0 %。全部病例均行手术切除 ,术后血压恢复正常者 2 0例 ,无死亡病例。结论 尿VMA检查是肾上腺嗜铬细胞瘤定性诊断的主要依据 ,B超、CT及MRI检查为定位诊断的主要依据。根本治疗方法为手术切除 ,充分的术前准备和正确的围手术期处理十分重要。
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| 关 键 词： | 肾上腺嗜铬细胞瘤 诊断 治疗 |
| 文章编号： | 1008-7702(2002)04-0280-02 |
| 修稿时间： | 2002-06-07 |
Diagnosis and Treatment of Adrenal Pheochromocytoma |
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| WEI Sheng-min,WANG Wen-sheng,CHENG Yuan-he,et al. Diagnosis and Treatment of Adrenal Pheochromocytoma[J]. Journal of Henan University of Science & Technology:Medical Science, 2002, 20(4): 280-281 |
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| Authors: | WEI Sheng-min WANG Wen-sheng CHENG Yuan-he et al |
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| Abstract: | Objective To improve the diagnosis and treatment of adrenal pheochromocytoma. Methods 24 cases of adrenal pheochromocytoma were retrospectively analyzed. Results 98.5% of these cases manifested hypertension.The positive sensitivity of urinary VMA was 95.8%.The accurate rate of localization and diagnosis with ultrasonography,CT and MRI was 62.5%,100% and 100%.Total resections were performed in all patients.No patient died in perioperative period. Conclusion Urinary VMA assay and imaging procedures were important for diagnosis of adrenal pheochromocytoma. Surgical extirpation was the only means of cure,and meticulous preparation was essential. |
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| Keywords: | adrenal pheochromocytoma diagnosis treatment |
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