论文部分内容阅读
目的 提高肾上腺髓质增生症 (AMH)的诊断水平和治疗效果。 方法 回顾总结1993年 12月～ 1999年 6月收治 8例AMH患者的临床资料。 结果 经影像学检查 ,8例中 5例肾上腺和肾上腺外未发现肿瘤 ,诊断为AMH ;3例因肾上腺占位性病变诊断为嗜铬细胞瘤。 7例行单侧肾上腺切除术 ,5例痊愈 ,2例病情改善 ;1例行双侧肾上腺全切除、带血管去髓质自体肾上腺移植术 ,术后痊愈。 结论 AMH临床诊断应首先排除嗜铬细胞瘤 ,确诊需经病理检查 ,手术为治疗AMH的主要方法。
Objective To improve the diagnosis and treatment of adrenal medulla hyperplasia (AMH). Methods The clinical data of 8 patients with AMH admitted from December 1993 to June 1999 were retrospectively reviewed. Results After imaging examination, no tumor was found in 5 cases of adrenal gland and adrenal in 8 cases, which was diagnosed as AMH. Three cases were diagnosed as pheochromocytoma due to adrenal space-occupying lesions. Seven cases of unilateral adrenalectomy, 5 cases recovered, 2 cases improved; 1 case of bilateral adrenalectomy, vascular autotransplantation of medullary autograft, postoperative recovery. Conclusion The clinical diagnosis of AMH should first rule out pheochromocytoma, confirmed by pathological examination, surgery for the treatment of AMH the main method.