超声对肾上腺肿瘤的诊断与鉴别诊断价值

目的探讨超声显像对肾上腺肿瘤的定位、定性诊断与鉴别诊断价值。方法对2003年1月-2009年1月125例疑为肾上腺肿瘤患者进行超声及CT检查,并经手术与病理证实。超声显像诊断后经手术与病理证实为嗜铬细胞瘤48例,肾上腺皮质腺瘤41例,皮质腺癌11例,肾上腺转移癌9例,髓样脂肪瘤8例,结节样增生2例,肾上腺结核4例,胰尾部肿瘤1例,肝脏肿瘤1例,肾上极肿瘤1例。结果肾上腺肿瘤的病理类型不同,声像图表现亦各不相同。超声显像定位诊断符合率为96.0%（120/125）,定性诊断符合率为91.2%（114/125）。结论超声显像对肾上腺肿瘤的定位与定性诊断价值较大,可作为临床诊断的首选检查方法。

Value of Ultrasonography in Diagnosis and Differentiation of Tumors of Adrenal Gland

Objective To assess the value of ultrasonography in the diagnosis and differential diagnosis of tumors of adrenal gland. Methods From January 2003 to January 2009,125 patients who were suspected to suffering from adrenal tumors underwent ultrasonography and CT examination. The results were then confirmed by surgery and pathology. There were 48 patients of pheochromocytoma,41 adenoma,11 adenocarcinoma,nine metastatic tumor,eight adrenal medullary lipoma,two nubblar hyperplasia,four tuberculosis of adrenal gland,one tumor of cauda pancreatic,one tumor of liver and one tumor of upper pole of kidney. Results The ultrasonographic features varied with different pathological types. The accuracy diagnosis of localizition and qualitation were 96. 0% （ 120 /125） and 91. 2% （ 114 /125） respectively. Conclusion Ultrasonography is useful in diagnosing tumors of adrenal gland,which may be used as the first choice for the disease.