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目的探讨肾上腺区肿瘤的诊断、手术治疗及预后。方法回顾分析山东省立医院泌尿外科自2009年1月至2010年7月收治的61例经手术治疗的肾上腺区肿瘤病人临床资料,并对预后情况进行随访。结果 61例病人中肾上腺来源肿瘤47例,非肾上腺来源腹膜后肿瘤14例。所有病例肿瘤均完整切除,无围手术期死亡病例。病例均获随访,平均随访时间27个月。3例病人死于肿瘤复发转移,另有4例病人术后复发,3例再次手术,至今均存活。结论肾上腺区肿瘤病理来源丰富,影像学检查是术前主要诊断依据,充分的术前准备下手术切除是最有效的治疗手段,术后定期随访具有重要意义。
Objective To investigate the diagnosis, surgical treatment and prognosis of adrenal tumors. Methods The clinical data of 61 surgically treated patients with adrenal tumors admitted to Department of Urology, Shandong Provincial Hospital from January 2009 to July 2010 were retrospectively analyzed. The prognosis was followed up. Results Of the 61 patients, 47 were adrenal-derived tumors and 14 were non-adrenal-derived retroperitoneal tumors. All cases of tumor were completely resected, no perioperative deaths. All patients were followed up for a mean of 27 months. 3 patients died of tumor recurrence and metastasis, and another 4 patients relapsed after surgery, 3 cases of reoperation, so far have survived. Conclusion The adrenal area is rich in tumor pathology. Imaging examination is the main diagnostic basis before operation. Adequate surgical preparation is the most effective treatment and the regular follow-up after operation is of great significance.