CAJ | 학술논문

目的　提高肾上腺结节性增生的诊治水平。　方法　回顾性分析20年收治肾上腺结节性增生41例的资料。　结果　41例中左侧32例，右侧6例，双侧3例。均经开放性手术和病理证实。36例随访3个月至3年，5例失访。26例术后1个月血压恢复正常，头痛、头晕、向心性肥胖、乏力、性欲下降等症状明显好转。2例于术后2个月好转。8例患者血压恢复不理想。　结论　B超和CT是诊断肾上腺结节性增生的主要方法，肾上腺结节性增生与腺瘤的鉴别诊断十分重要，外科手术是主要的治疗手段，影响疗效的因素与病史长、周身血管硬化有关。
목적　제고신상선결절성증생적진치수평。　방법　회고성분석20년수치신상선결절성증생41례적자료。　결과　41례중좌측32례，우측6례，쌍측3례。균경개방성수술화병리증실 。36례수방3개월지3년，5례실방。26례술후1개월혈압회복정상，두통、두훈、향심 성비반、핍력、성욕하강등증상명현호전。2례우술후2개월호전。8례환자혈압회복불이상 。　결론　B초화CT시진단신상선결절성증생적주요방법，신상 선결절성증생여선류적감별진단십분중요，외과수술시주요적치료수단，영향료효적인소여 병사장、주신혈관경화유관。
Objective　To present and evaluate the diagn osis and treatment of 41 cases of adrenal nodular hyperplasia.　Metho ds　From 1979 to 1999,41 cases of adrenal nodular hyperplasia were di agnosed and treated .The diagnosis was all ascertained on open surgery and patho logial studies.　Results　In the 41 cases,32 were on the l eft,6 on the right and 3 bilateral. The positive diagnosis rate of B-ultrasonog raphy was 85% and that of CT 93%.In 28 cases of the 41,the blood pressure droppe d and the symtoms such as headache,dizzyiness,centric obesity,inertia and decrea s e of sexual desire have been significantly improved after surgery.In 8 of the ca ses,blood pressure didn't drop to normal after three months to three years. 5 cases have not been fellowed-up.　Conclusions　B-ultr a sonography and CT scan play the important role in diagnosis. Compared with CT,MR I had no specific superiority.The differenital diagnosis of nodular hyperplasia and adrenal adenoma is very important.Open surgery is the main treatment method . Factors effecting the therapeutic outcome are the status of vascular sclerosis of the patient and the medical history.