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目的 探讨偶发肾上腺肿瘤随访观察期间的危险性因素。 方法 通过单因素分析方法对 4 3例偶发肾上腺肿瘤病人危险因素进行筛选 ,进行Logistic回归多因素分析。 结果 经过平均 (4.0± 1.2 )年的随访观察 ,2 1例施行手术治疗 ,其中恶性肿瘤 4例。多因素分析显示肿瘤大小 (P=0 .0 18)和激素或其代谢产物异常 (P =0 .0 39)是偶发肾上腺肿瘤进一步手术治疗的危险因素。 结论 危险因素分析对于衡量手术风险与恶性倾向的关系有重要意义。
Objective To investigate the risk factors of adrenal tumors during the follow-up period. Methods Single factor analysis of 43 cases of adrenal tumor risk factors were screened, multivariate logistic regression analysis. Results After an average of (4.0 ± 1.2) years of follow-up observation, 21 patients underwent surgical treatment, of which 4 were malignant tumors. Multivariate analysis showed that tumor size (P = 0.018) and abnormalities of hormones or their metabolites (P = 0.039) were risk factors for further surgical treatment of incidental adrenal tumors. Conclusion The analysis of risk factors is of great significance for measuring the relationship between surgical risk and malignant tendency.