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目的:探讨肾上腺嗜铬细胞瘤的诊治方法。方法:回顾性分析我院1995年10月~2008年10月收治37例肾上腺嗜铬细胞瘤的临床资料,总结其主要临床表现、手术方法及围手术期血压的控制方法。结果:37例患者均行手术治疗,其中35例术后血压恢复正常,2例术后血压未降至正常水平。结论:肾上腺嗜铬细胞瘤的诊断主要依靠多种内分泌激素的测定及B超、CT的定位检查,确诊依赖于病理检查,手术切除是有效的治疗方法。术前的降压、扩容和术后的补液升压等围手术期的处理是手术治疗成功的关键。
Objective: To investigate the diagnosis and treatment of adrenal pheochromocytoma. Methods: The clinical data of 37 cases of adrenal pheochromocytoma admitted from October 1995 to October 2008 in our hospital were retrospectively analyzed. The main clinical manifestations, surgical methods and perioperative blood pressure control methods were summarized. Results: Thirty-seven patients underwent surgery. Among them, 35 patients returned to normal blood pressure after operation, and 2 patients did not have normal postoperative blood pressure. Conclusion: The diagnosis of adrenal pheochromocytoma relies mainly on the determination of a variety of endocrine hormones and the localization of B-ultrasound and CT. Confirmed diagnosis depends on the pathological examination, and surgical resection is an effective treatment. Preoperative decompression, dilatation and postoperative rehydration and other perioperative management is the key to the success of surgical treatment.