儿茶酚胺症的诊断与治疗

目的：探讨提高儿茶酚胺症的诊治水平的方法。方法：回顾分析1991--2001年经手术和病理证实的儿茶酚胺症84例患者临床资料。结果：84例均经手术治疗，良性76例，恶性8例；肿瘤位于肾上腺68例，异住嗜铬细胞瘤8例，肾上腺髓质增生8例。结论：尿VMA检查是儿茶酚胺症定性诊断的主要依据，B超、CT、MRI检查为定位诊断的主要依据，^131I-MIBG检查同时为定性及定位的主要依据。根本治疗方法为手术切除，充分的术前准备，正确的围手术期处理，术后随访十分重要。

Diagnosis and treatment of catecholamine syndrome

Objective To evaluate the methods of raising the diagnosis and treatment level of catecholamine sydrome. Methods 84 cases of catecholamine syndrome, confirmed by surgery and pathology, were retrospectively analyzed. Results In 84 cases of catecholamine syndrome treated by surgery, 76 cases were benign and the other 8 cases were malignant. 68 cases were adrenal pheochromocytoma, 8 cases were extra-adrenal pheochromocytoma and 8 cases were adrenal medullary hyperplasia. Conclusion Urinary VMA provides the main evidence for the qualitative diagnosis of catecholamine sydrome and B-ultrasonography, CT and MRI provide the main evidences for the locative diagnosis,while 131 I-MIBG provide the main evidences for both the locative and qualitative diagnosis. Surgical resection is the basic means for curing catecholamine syndrome. Meticulous preoperative preparation, correct perioperatvie management and post-operative follow-up are of importance.