肾上腺区巨大肿瘤的影像学定位诊断和介入治疗评价

①目的　探讨不同影像学检查方法对肾上腺区巨大肿瘤的定位诊断及介入治疗的价值。②方法　收集经手术和病理证实、肿瘤直径＞ １０ｃｍ 的肾上腺区巨大肿瘤病人１７ 例，对其诊断和治疗进行总结分析。③结果１７例中ＣＴ定位诊断正确１１ 例，占６４．７％ ；Ｂ超诊断正确７ 例，占４１．２％ ．５ 例行ＤＳＡ 检查，定位诊断正确率达１００％ ，均行肾上腺动脉栓塞治疗后手术切除。④结论　各种影像学检查方法，对肾上腺区巨大肿瘤的定位诊断正确率由高到低依次为ＤＳＡ，ＣＴ和Ｂ超。介入治疗既可作为手术前栓塞治疗，也可作为不能手术切除肿瘤的姑息性治疗。

IMAGING DIAGNOSIS AND INTERVENTIONAL TREATMENT FOR MASSIVE TUMOR OF ADRENAL GLAND REGION

Objective\ To study the practical value of different imaging approaches to location diagnosis and interventional treatment of adrenal massive tumor.\ Methods\ The diagnosis and treatment of 17 cases with tumor diameter >10cm confirmed by surgery and pathology were analyzed.\ Results\ Correct location diagnosis was made with CT in 11 of 17 cases (64.7%), with US in 7(41.2%) and with DSA in all 5 cases. The five cases first were treated with adrenal artery embolism and resected finally. Conclusion\ The correct rate of location diagnosis of the different imaging methods of detection is successively DSA, CT and US. Interventional treatment of massive adrenal tumor can be used before the operation and also used as palliative treatment of the cases with unresectable tumor.