超声诊断肾上腺占位性病变的价值

目的探讨常规超声对肾上腺占位性病变的诊断价值。方法分析2005年5月-2007年9月资料完整的57例肾上腺占位性病变（肾上腺皮质癌8例,转移癌12例,皮质腺瘤12例,髓样脂肪瘤4例,嗜铬细胞瘤9例,节细胞神经瘤4例,神经母细胞瘤3例,肾上腺囊肿5例）的常规超声表现,所有病例均经手术或超声引导下穿刺活检取得明确的病理组织学结果。结果53例超声可以准确定位,定位诊断率为（92.98%）。39例超声可以明确病变的良恶性,定性诊断率为（68.42%）。所有穿刺活检的病例均无出血等严重并发症。结论常规超声是诊断肾上腺占位性病变的主要方法和重要手段,对判断病变的来源和性质有很大的帮助,对一些定位困难、声像图特征不典型的病例,超声引导下穿刺活检可明确肿瘤的性质。

The value of color Doppler ultrasound in diagnosing adrenal solid lesions

Objective To evaluate the value of ultrasonography in diagnosing of adrenal solid lesions. Methods Ultrasound images of 57 patients with adrenal solid lesions were studied from May 2005 to Sep 2007. All Pathologic results were confirmed by operation or ultrasound-guided fine needle biopsy, including adrenal metastatic carcinoma (n=12), adrenocorticaladenoma (n=12), myelolipoma (n=4), pheochromocytoma (n=9), ganglioneuroma (n=4), neuroblastoma (n=3), and adrenal cyst (n=4). Results Of 57 patients, ultrasound examination accurately indicated the location of the tumor in 53 cases (92.98%). It could be differentiated between benign and malignant tumors in 39 cases by ultrasound. None of the patients underwent biopsy complained serious complications, such as hemorrhage. Conclusion Ultrasonography is of vital value in locating and diagnosing adrenal solid tumors. Ultrasound-guided needle biopsy may provide definite tumor classification and characterization for those lesions which are diffcult to locate and diagnosis.