论文部分内容阅读
目的提高复杂嗜铬细胞瘤的外科治疗水平。方法回顾性总结外科手术治疗的37例复杂嗜铬细胞瘤患者,运用螺旋CT血管成像、三维动态磁共振血管成像重建技术进行更准确的定位,选用肋间切口、胸腹联合切口或腹部切口等径路顺利切除肿瘤。结果37例患者的肿瘤直径均>8cm,激素呈高分泌,其中18例肿瘤造成严重的心血管系统、内分泌系统紊乱等伴随症状。本组术前有效控制血压及心律失常,做扩容准备,纠正伴随疾病及症状。术后病理证实为嗜铬细胞瘤,肿瘤直径均>8cm,最大者达35cm。结论手术切除嗜铬细胞瘤是目前唯一有效的治疗方法,准确的术前诊断,积极的围术期准备,精确的术式选择,以及术后的相应处理十分重要。
Objective To improve the surgical treatment of complex pheochromocytoma. Methods A retrospective review of 37 patients with complicated pheochromocytoma treated with surgery was performed. The results of spiral CT angiography and three-dimensional dynamic magnetic resonance angiography were more accurate. The intercostal incision, thoracoabdominal incision or abdominal incision were selected Path successfully removed the tumor. Results Thirty-seven patients had tumor diameter> 8cm and hormones were highly secreted. Among them, 18 patients had severe cardiovascular and endocrine disorders. The preoperative effective control of blood pressure and arrhythmia, to do expansion preparation, to be corrected with the disease and symptoms. Postoperative pathology confirmed as pheochromocytoma, tumor diameter> 8cm, the largest of 35cm. Conclusions Surgical resection of pheochromocytoma is currently the only effective treatment. Accurate preoperative diagnosis, positive perioperative preparation, accurate surgical selection, and appropriate postoperative treatment are very important.