目的 :总结肾上腺肿瘤的现代处理经验。方法 :分析 1 992～ 1 998年间诊治的 32例肾上腺肿瘤的临床资料。结果 :患者 32例 ,男性 1 4例 ,女性 1 8例 ,平均 38.4岁。 31例接受手术治疗 ,1例胃癌肾上腺转移者接受化疗。嗜铬细胞瘤患者 1例术中死于大出血 ,另 1例术后死于MOSF。 2 6例随访 2月～ 5年均健在。结论 :①定期体检、B超筛查是诊断肾上腺偶发瘤的主要方法 ;②无症状的巨大肾上腺肿瘤应警惕嗜铬细胞瘤 ;③正确的围手术期处理是保证手术成功的基础 ;④经十二肋切口或十一肋间切口已能满足绝大多数肾上腺肿瘤的手术需要 Objective: To summarize the experience of modern treatment of adrenal tumors. Methods: The clinical data of 32 adrenal tumors diagnosed and treated between 1992 and 1998 were analyzed. Results: 32 patients, 14 males and 18 females, with an average of 38.4 years old. Thirty-one patients underwent surgery and one patient with gastric cancer adrenal metastasis underwent chemotherapy. One patient with pheochromocytoma died of intraoperative bleeding and the other died of MOSF after operation. 26 cases were followed up from 2 months to 5 years were alive. Conclusion: ① regular physical examination, B-screening is the diagnosis of adrenal incidental aneurysm of the main methods; ② asymptomatic giant adrenal tumors should be vigilant pheochromocytoma; ③ the correct perioperative management is to ensure the success of surgery; ④ ten Erzhi incision or eleven intercostal incision has been able to meet the surgical needs of most adrenal tumors