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应用形态定量法对35例健康成年人的70份肾上腺标本的体积及不同结构层次的重量、髓质/皮质比值作了测定。结果:新鲜标本的体积左侧5.23±0.11cm×2.48±0.12cm×0.51±0.02cm,右侧3.87±0.11cm×3.17±0.11cm×0.55±0.02cm;总重量左侧4.23±0.12g,右侧4.04±0.11g;皮质重量左侧3.65±0.12g,右侧3.46±0.13g,占总重量的86%;髓质重量左侧0.39±0.02g,右侧0.37±0.01g.占9%;其他组织重量左侧0.22±0.02g,右侧0.23±0.02g,占5%;两侧髓质/皮质比值为0.10±0.01。与对照组(柯兴综合征患者手术切除的肾上腺)8份标本比较,其体积、总重量、皮质(P<0.001)及髓质/皮质比值(P<0.05)均有显著性差异。本研究为国人正常肾上腺重量及病理学诊断提供了参考依据。
The morphological and quantitative methods were used to determine the volume and medulla / cortical ratio of 70 adrenal specimens from 35 healthy adults. Results: The volume of the fresh specimen was 5.23 ± 0.11cm × 2.48 ± 0.12cm × 0.51 ± 0.02cm on the left and 3.87 ± 0.11cm × 3.17 ± 0.11cm on the right 0.55 ± 0.02 cm; 4.23 ± 0.12 g on the left and 4.04 ± 0.11 g on the right; 3.65 ± 0.12 g on the left and 3.46 ± 0 on the right. 13g, accounting for 86% of the total weight; medullary weight of 0.39 ± 0.02g left, right 0.37 ± 0.01g. Accounting for 9%; other organizations weighing 0.22 ± 0.02g on the left, 0.23 ± 0.02g on the right, accounting for 5%; medulla / cortical ratio on both sides was 0.10 ± 0.01. There were significant differences in the volume, total weight, cortex (P <0.001) and medulla / cortical ratio (P <0.05) between the control group and the control group difference. This study provides a reference for normal weight and pathological diagnosis of adrenal gland.