【摘要】 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。更多还原

【Abstract】 Objective:To explore the diagnosis,treatment and follow-up of adrenal myelolipoma.Methods:6 patients with adrenal myelolipoma were admitted.4 patients had the B-ultrasound and MRI scan.3 patients had the CT scan.The renin-angiotensin-aldosterone-cortisol was tested in 3 patients,and the catecholamine was tested in 2 patients.All the patients accepted the operation,4 were treated by laparoscopic technique,and the other 2 were treated by open surgery.Results:All the operations are successful and the post-operation pathology assures the diagnosis. Symptoms disappeared after operation.5 patients were followed-up for 3 months-3 years.No recurrence was found.Conclusions:Before operation the clinical diagnosis of the adrenal myelolipoma depends mainly on the imaging tests;The asymptomatic myelolipomas with symptoms are advised to have surgery to remove;Surgery is reserved for symptomatic lesions or possibly larger tumors(>4 cm),the laparoscopic technique is the first choice.更多还原