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目的提高对肾上腺髓质增生症（AMH）的诊断与治疗水平。方法总结分析 1998年 5月～2002年 5月我院收治的 8例 AMH患者的临床资料。结果 8例患者 CT检查肾上腺均发现异常,术前诊断 AMH 4例,嗜铬细胞瘤 4例。8例均行单侧肾上腺全切除,7例痊愈,1例因对侧有增生,术后1月复发。结论AMH的诊断需与嗜铬细胞瘤鉴别,尤其是定位检查发现有结节时,确诊靠术中探查和病理检查;经腹手术是AMH治疗的主要方法,术中应注意探查双侧肾上腺。
Objective To improve the diagnosis and treatment of adrenal hyperplasia (AMH). Methods The clinical data of 8 patients with AMH admitted to our hospital from May 1998 to May 2002 were analyzed. Results 8 cases of patients with abnormalities were found in the adrenal CT examination, preoperative diagnosis of AMH in 4 cases, 4 cases of pheochromocytoma. 8 cases were performed unilateral adrenalectomy, 7 cases recovered, 1 case of contralateral proliferation, recurrence in January after surgery. Conclusions The diagnosis of AMH needs to be distinguished from that of pheochromocytoma. Especially when the nodules are found in the localization examination, the diagnosis of AMH is confirmed by intraoperative exploration and pathological examination. Transabdominal surgery is the main method for the treatment of AMH. The bilateral adrenal glands should be explored during operation.