论文部分内容阅读
目的 回顾性综合分析肾上腺肿块的发生和演变有关的危险因素。方法 对 5 5例肾上腺肿块的一般资料、临床表现、影像学检查、内分泌功能评价、病理等资料综合分析。结果 5 5例中 ,11例于首次诊断为肿块恶性可能而行手术治疗 ,1例原发性醛固酮增多症拒绝手术 ;余 4 3例随访 2～ 7年 ,11例出现肿块增大和 (或 )激素分泌异常。在选取的 9个因素中 ,经统计学处理后发现肿块大小、轻度激素分泌异常及高血压与肾上腺肿块演变有关。结论 大多数肾上腺肿块为无功能腺瘤且为无意中发现 ,肿块直径≥ 2 4cm ,轻度激素分泌异常及合并高血压是肾上腺肿块演变的危险因素。
Objective To retrospectively analyze the risk factors associated with the occurrence and evolution of adrenal masses. Methods A total of 55 cases of adrenal mass general information, clinical manifestations, imaging examination, endocrine function evaluation, pathology and other data comprehensive analysis. Results Among 5 5 cases, 11 cases were diagnosed as malignant tumor for the first time, and 1 case of primary aldosteronism refused surgery. In 43 cases followed up for 2 to 7 years, 11 cases showed tumor enlargement and / Hormone secretion abnormalities. Among the 9 selected factors, the size of the tumor, the abnormal secretion of mild hormone and the hypertension were found to be related to the evolution of the adrenal mass. Conclusions Most adrenal masses are non-functioning adenomas and are inadvertently found. Massive diameter ≥ 24 cm, abnormal secretion of mild hormones, and associated hypertension are risk factors for the development of adrenal masses.