CAJ | 학술논문

目的探讨对嗜铬细胞瘤的诊断和治疗方法.方法对2001-2009年术后病理检查确诊的35例嗜铬细胞瘤患者的临床表现,影像学检查、实验室检查、围手术期处理,术式选择与术后随访结果进行回顾性分析.结果 35例均行手术切除肿瘤,采用开放手术18例,后腹腔镜手术者有16例,膀胱内异位嗜铬细胞瘤经尿道切除1例,术中血压波动较大的有17例,术后1年随访所有患者血压均恢复正常.结论嗜铬细胞瘤表现为继发性高血压,诊断要结合3次以上尿VMA检查及影像学检查定性、定位,且充分的术前准备,是嗜铬细胞瘤切除手术成功的关键.
목적 탐토대기락세포류적진단화치료방법.방법 대2001-2009년술후병리검사학진적35례기락세포류환자적림상표현,영상학검사、실험실검사、위수술기처리,술식선택여술후수방결과진행회고성분석.결과 35례균행수술절제종류,채용개방수술18례,후복강경수술자유16례,방광내이위기락세포류경뇨도절제1례,술중혈압파동교대적유17례,술후1년수방소유환자혈압균회복정상.결론 기락세포류표현위계발성고혈압,진단요결합3차이상뇨VMA검사급영상학검사정성、정위,차충분적술전준비,시기락세포류절제수술성공적관건.
Objective To summarize and analyse the treatmental experience of 35 cases of pheochromocytoma. Methods The diagnosis, preparation before operation, the modus of operation,and the main points in pre-post operation were retrospectively summarized. Results Thirty-five cases of tumor excision were successfully performed,including 16 cases with the laparoscope and 18 cases with the open surgery excision, 1 case with TURBT,during the operation the blood pressure was obviously fluctuant in 17 cases. Follow-up of 1 year duration for all cases show all the patient's blood pressure come to normal.Conclusion Pheochromocytoma diagnose should follow the thought of secondary hypertension diagnoses ,combine the result of more than 3 times VMA test and imaging representation to determine the nature and location of the tumour,but the key point of successful operation is sufficient preoperative preparation.