CAJ | 학술논문

目的探讨合并Kartagener综合征(KS)的肾上腺腺瘤患者的临床特点、诊断及治疗方法.方法报告1例合并KS的肾上腺瘤患者的症状、体征、辅助检查及诊治经过等资料,并结合文献进行讨论.结果武汉大学中南医院泌尿外科收治的1例女性肾上腺腺瘤并Kartagener综合征患者,临床表现为长期高血压及典型的Kartagener综合征,影像学检查提示右侧肾上腺占位,全腹腔脏器转位,卧位醛固酮升高,积极控制血压及呼吸道感染,行后腹腔镜下右肾上腺肿瘤切除术,术后病理提示肾上腺腺瘤.结论肾上腺腺瘤合并KS临床极为罕见,行手术治疗需严格控制呼吸道感染及血压,术中应注意其特殊解剖结构.采用后腹腔镜微创治疗安全有效,是理想的手术治疗方式.
목적 탐토합병Kartagener종합정(KS)적신상선선류환자적림상특점、진단급치료방법.방법 보고1례합병KS적신상선류환자적증상、체정、보조검사급진치경과등자료,병결합문헌진행토론.결과 무한대학중남의원비뇨외과수치적1례녀성신상선선류병Kartagener종합정환자,림상표현위장기고혈압급전형적Kartagener종합정,영상학검사제시우측신상선점위,전복강장기전위,와위철고동승고,적겁공제혈압급호흡도감염,행후복강경하우신상선종류절제술,술후병리제시신상선선류.결론 신상선선류합병KS림상겁위한견,행수술치료수엄격공제호흡도감염급혈압,술중응주의기특수해부결구.채용후복강경미창치료안전유효,시이상적수술치료방식.
Objective To explore the clinical features,diagnosis and treatment of adrenal adenoma complicated with Kartagener syndrome (KS).Methods Clinical data of 1 case of adrenal adenoma complicated with KS which received lapa-roscopic retroperitoneal tumor excision in our hospital was analyzed and related literatures were reviewed.Results The pa-tient,44-years old female,had high blood pressure for 8 years and was admitted into hospital because of a right adrenal lump detected in physical examination.CT showed a neoplasm on the right adrenal gland.Right adrenal adenoma complicated with KS was diagnosed.Adrenal tumor resection was performed after respiratory symptoms were relieved and blood pressure was controlled.Conclusions Adrenal adenoma complicated with KS is rare respiratory infection and blood pressure should be strictly controlled before operation.Laparoscopic retroperitoneal tumor excision is optimal for it's safe and effective.