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肾上腺皮质良性病变患者的诊断与治疗

[Diagnosis and treatment of patients with benign formations of the adrenal cortex].

作者信息

Podluzhnyĭ A A

出版信息

Klin Khir. 2013 Nov(11):57-60.

Abstract

In 2003 - 2013 yrs 48 patients were treated in the clinic for benign tumors of the adrenal cortex substance (ACS). Adrenal adenoma was diagnosed in 34 (70.8%) patients, nodular hyperplasia--in 14 (29.2%). In assumption about presence of primary hyperaldosteronism the blood from the adrenal veins ostium were taken selectively. Operative interventions were performed in 43 (89.6%) patients: laparoscopic adrenalectomy--in 18 (41.9%), adrenalectomy using open access--in 21 (48.8%), for nodular hyperplasia of ACS roentgenoendovascular adrenal destruction was performed in 4 (9.3%). Differentiated approach to choice of the treatment method was applied in the patients.

摘要

2003年至2013年期间,该诊所共治疗了48例肾上腺皮质物质(ACS)良性肿瘤患者。34例(70.8%)患者被诊断为肾上腺腺瘤,14例(29.2%)为结节性增生。在怀疑存在原发性醛固酮增多症的情况下,选择性地采集肾上腺静脉开口处的血液。43例(89.6%)患者接受了手术干预:18例(41.9%)进行了腹腔镜肾上腺切除术,21例(48.8%)采用开放手术进行肾上腺切除术,4例(9.3%)因ACS结节性增生进行了X线血管内肾上腺破坏术。对患者采用了差异化的治疗方法选择。

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