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目的:探讨肾上腺髓样脂肪瘤的诊断、治疗。方法:收治6例肾上腺髓样脂肪瘤的患者。4例行B超和MRI检查,3例行CT检查。3例行肾素血管紧张素-醛固酮和皮质醇的测定;2例行儿茶酚胺的测定。6例患者全部接受手术治疗,其中腹腔镜手术切除4例,开放手术2例。结果:6例手术均获得成功。术后病理均诊断为肾上腺髓样脂肪瘤。术前具有的相关症状,术后均消失。5例术后获得随访时间为3个月～3年,均未见复发。结论:肾上腺髓样脂肪瘤术前诊断主要依赖于影像学检查;在治疗上有症状者宜手术切除,无症状且肿瘤直径大于4cm者可考虑手术,手术方式以腹腔镜手术为首选。
Objective: To investigate the diagnosis and treatment of adrenal myeloid lipoma. Methods: Six patients with adrenal myeloid lipoma were treated. 4 cases B ultrasound and MRI examination, 3 cases CT examination. 3 routine determination of renin angiotensin - aldosterone and cortisol; 2 routine determination of catecholamines. All 6 patients received surgical treatment, including laparoscopic resection in 4 cases and open surgery in 2 cases. Results: All the 6 surgeries were successful. Postoperative pathology were diagnosed as adrenal myeloid lipoma. Preoperative with the relevant symptoms, disappeared after surgery. Five patients were followed up for 3 months to 3 years, no recurrence. Conclusions: The preoperative diagnosis of adrenal myeloid lipoma mainly depends on the imaging examination. In the treatment of symptomatic patients should be surgically removed, asymptomatic and tumor diameter greater than 4cm may consider surgery, the surgical approach to laparoscopic surgery preferred.